Comprehensive Community Action, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMPREHENSIVE COMMUNITY ACTION, INC

Practice address

30 Howard Ave
Cranston, RI 02920-3031

Phone

(401) 467-9610

NPI assigned

Jan 15, 2019

Organization subpart

No

Name

Justine Sands

Title

Cfo

Phone

(401) 562-2249

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Comprehensive Community Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cranston, RI
  • NPI 1366441719

  O20040312000668

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Anderson, LCSW

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1417606898
  NPD
• Shawna Bell, LMHC

  • Mental Health Counselor
  • Cranston, RI
  • NPI 1831875640
  NPD
• Cameron McKenna Biller, PA

  • Medical Physician Assistant
  • Warwick, RI
  • NPI 1154459428
  NPD
• Sarah Elizabeth Carter

  • Clinical Social Worker
  • Johnston, RI
  • NPI 1013761782
  NPD
• Dian Joan Cullion, PA-C

  • Medical Physician Assistant
  • Johnston, RI
  • NPI 1972551489
  NPD
• Donna M. Deangelis, LICSW

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1669499182
  NPD
• Iehsus S Flores-Perez, M.D.

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1538508304
  NPD
• Aileen Marie Gonzalez, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranston, RI
  • NPI 1164396487
  NPD
• Christopher Hicks, PMHNP

  • Nurse Practitioner
  • East Greenwich, RI
  • NPI 1710394994
  NPD
• Atsuko Hirae, NP

  • Family Nurse Practitioner
  • Cranston, RI
  • NPI 1780579763
  NPD
• Sofia Irons, LCSW

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1891206678
  NPD
• James W Jewett, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumberland, RI
  • NPI 1710688577
  NPD

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1659845451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DORIC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102903",
            "telephone_number": "401-562-8305",
            "fax_number": "401-467-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOWARD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203031",
            "telephone_number": "401-467-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY ACTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-562-2249"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000471",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Coe, BA
• Coia Comprehensive Primary Care LLC
• Michelle Ann Collette, LICSW
• Gianna Comparone, RPH
• Comprehensive Community Action, Inc
• Comprehensive Community Action, Inc
• Comprehensive Community Action, Inc
• Comprehensive Community Action, Inc.
• Comprehensive Home Medical Equipment Inc
• Comprehensive OB/GYN Care, Inc

• All providers in Cranston, RI
• Federally Qualified Health Center (FQHC) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.