Greater Providence Young Men'S Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

GREATER PROVIDENCE YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

371 Pine St
Providence, RI 02903-4515

Phone

(401) 521-9622

Fax

(401) 421-6431

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Linda S Dykeman

Title

Ceo

Phone

(401) 427-1808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1770030959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 PINE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034515",
            "telephone_number": "401-521-9622",
            "fax_number": "401-421-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 PINE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034515",
            "telephone_number": "401-521-9622",
            "fax_number": "401-421-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PROVIDENCE YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "DYKEMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-427-1808"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Ron Graziano, LICSW
• Great Commission Associates LLC
• Greater Providence Chapter,Riarc
• Greater Providence Chapter,Riarc
• Greater Providence Chapter,Riarc
• Wesley Greaves
• Kerra Grednuk
• Green Leaf Counseling, LLC
• Green Line Apothecary of Providence LLC
• Andrew Green, M.D.

• Health Educator in Providence, RI
• Providers in Providence, RI by specialty
• Health Educator in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.