Individual provider Active NPI

Stephen L Chabot, MD

  • Psychiatry Physician
  • Pawtucket, RI
National Provider Identifier
1609847078
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 06763 Issued in RI
Practice address
101 Bacon St
Pawtucket, RI 02860
Phone
(401) 722-3560
Fax
(401) 724-3120
NPI assigned
Feb 1, 2006
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD 06763 RI Primary

Addresses

Primary practice location

101 Bacon St
Pawtucket, RI 02860

Mailing address

249 Roosevelt Avenue
Suite 205
Pawtucket, RI 02860
Phone (401) 724-8400

Other identifiers 1

IdentifierTypeStateIssuer
SC03683MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050411000812 MA Practitioner - PsychiatryPractitioner - Addiction Medicine 7315984424 Reassigns benefits to 1 organization
I20170504000028 RI Practitioner - Psychiatry 7315984424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Warren Alpert Medical School of Brown University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Healthcare IncGroup PAC ID 7719874908, 66 clinicians
Blue Hills Counseling and Psychiatric Associates PCGroup PAC ID 9931142494, 5 clinicians
Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

105 Bacon St
Pawtucket, RI 02860-5542
Phone (401) 722-7034

340 Wood Rd
Suite 306
Braintree, MA 02184-2404
Phone (781) 794-2300

50 Health LN
Warwick, RI 02886-2711
Phone (401) 732-5656

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 06763RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Psychiatry CurrentSince Jun 1, 2017 Accepting new patients
Thrive Behavioral Health, Inc. CurrentSince Jun 2, 2018 Accepting new patients
Blue Hills Counseling & Psychiatric Associates PC Psychiatry CurrentSince Feb 4, 1990 Accepting new patients
Gateway Healthcare Inc CurrentSince Nov 15, 2017 Accepting new patients
Rhode Island Hospital CurrentSince Jun 1, 2017 Accepting new patients

Locations

340 Wood Rd
Ste 306
Braintree, MA 02184
Phone (781) 794-2300

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560

249 Roosevelt Ave
Ste 205
Pawtucket, RI 02860
Phone (401) 667-6518

1 Virginia Ave
Ste 200
Providence, RI 02905

1268 Eddy St
Providence, RI 02905
Phone (401) 781-3669

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1609847078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ROOSEVELT AVENUE",
            "address_2": "SUITE 205",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-724-8400",
            "fax_number": "401-365-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BACON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-722-3560",
            "fax_number": "401-724-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD 06763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SC03683",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.