Community Counseling Partnerships LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COMMUNITY COUNSELING PARTNERSHIPS LLC

Practice address

340 Broadway
Providence, RI 02909-1102

Phone

(401) 714-7440

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Michael EltzNPI 1639131360

Title

Co-Owner

Phone

(401) 714-7440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 3

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

• Michael J Eltz, PH.D.

  • Psychologist
  • Providence, RI
  • NPI 1639131360
  Medicare reassignment NPD Authorized official
• Megan Sanderson, ISW01504

  • Social Worker
  • Providence, RI
  • NPI 1962458604
  Medicare reassignment NPD
• Alexandrina Almeida

  • Marriage & Family Therapist
  • Fall River, MA
  • NPI 1356071518

  RI

  Medicare reassignment

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1760201628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091102",
            "telephone_number": "401-714-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING PARTNERSHIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "ELTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "401-714-7440"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Peter Colwell, LICSW
• Kathryn Combo, MD
• Comfort Dental
• Community and School Support Services
• Community and School Support Services
• Community Health and Immunization Services
• Community Preparatory School
• Community Preparatory School
• Community Residences, Inc. Rhode Island
• Compass Counseling Center

• Clinical Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.