NPIMap

Organization Active NPI

St. Mary'S Home for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • North Providence, RI
National Provider Identifier
1770698011
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ST. MARY'S HOME FOR CHILDREN
Practice address
420 Fruit Hill Ave
North Providence, RI 02911-2626
Phone
(401) 353-3900
Fax
(401) 354-7986
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Bernard J. Smith, MSW
Title
Executive Director
Phone
(401) 353-3900

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

420 Fruit Hill Ave
North Providence, RI 02911-2626

Mailing address

420 Fruit Hill Ave
North Providence, RI 02911-2626
Phone (401) 353-3900

Other identifiers 1

IdentifierTypeStateIssuer
SM02342MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
St Mary'S Home for Children5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1770698011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FRUIT HILL AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112626",
            "telephone_number": "401-353-3900",
            "fax_number": "401-354-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRUIT HILL AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112626",
            "telephone_number": "401-353-3900",
            "fax_number": "401-354-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-353-3900",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SM02342",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.