Timothy Kieran Ridge, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT00110 Issued in RI

Practice address

68 Cumberland St
Suite 102
Woonsocket, RI 02895-3323

Phone

(401) 356-1940

Fax

(401) 356-1949

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1609083823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-356-1940",
            "fax_number": "401-356-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-356-1940",
            "fax_number": "401-356-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "TIMOTHY",
        "middle_name": "KIERAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MFT00110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "414012",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "326867",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR66767",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deborah Jane Rich, MD
• Logan M Rich, PA-C
• Melissa Richardson, LMHC
• Kelly Ann Riel, LCSW, LCDP, RCS
• Adrina Riggins, LMHC
• Mae Sue Riggs, RDH
• Dennis Martin Riley, RPH
• Meghan E Rinaldi-Young

• Marriage & Family Therapist in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Marriage & Family Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.