Embrace Healing Psychiatric Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD09937 Issued in RI

Legal business name

EMBRACE HEALING PSYCHIATRIC SERVICES, LLC

Practice address

345 Blackstone Blvd
Providence, RI 02906-4800

Phone

(401) 455-6357

Fax

(401) 455-3566

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ghulam Mustafa Surti, MDNPI 1861499675

Title

President

Phone

(401) 455-6357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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

• Ghulam Mustafa Surti, MD

  • Psychiatry Physician
  • Providence, RI
  • NPI 1861499675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1679977342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6357",
            "fax_number": "401-455-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6357",
            "fax_number": "401-455-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE HEALING PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_middle_name": "MUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-455-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD09937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Wagdy Mohamed Elsayed, MD
• Rawda Badawy Elsayed
• Dalal Hassan Elsori, M.D.
• Michael J Eltz, PH.D.
• Susan P Emaus, PA C
• Embracing Tomorrow Therapeutic Services LLC
• Emdr & Somatic Psychotherapies of Rhode Island
• Emdr & Somatic Psychotherapies of Rhode Island
• Emergency Medicine Physicians of Providence County, LLC
• Emerging Energy Acupuncture, LLC

• Psychiatry Physician in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.