East Bay Counsling Center, Inc..

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

RIMD4323 Issued in RI

Legal business name

EAST BAY COUNSLING CENTER, INC..

Practice address

77 Beechwood Ave
Pawtucket, RI 02860-5409

Phone

(401) 728-3400

Fax

(401) 724-3990

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Richard Nelson Gavalya. MD, M. D.

Title

Director

Phone

(401) 728-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Joseph Litchman, PHD

  • Clinical Psychologist
  • Pawtucket, RI
  • NPI 1295835197
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1811079502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605409",
            "telephone_number": "401-728-3400",
            "fax_number": "401-724-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605409",
            "telephone_number": "401-728-3400",
            "fax_number": "401-724-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY COUNSLING CENTER, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "GAVALYA. MD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-728-3400",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "RIMD4323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30095-1",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Dussault, LICMHC
• Bianca Ann Dutra
• Sylvie Duverseau, LCSW
• Mari-Beth Dziadosz
• Walter Matthew Dzialo, D.D.S.
• East Bay Neurology Professional Corporation
• East Side Surgical Group Inc
• Eastern Star EMS
• Charles B. Eaton, MD
• John Echeverry, BACHELORS

• Psychiatry Physician in Pawtucket, RI
• Providers in Pawtucket, 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 Sep 23, 2010; 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.