Map Behavioral Health Services Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MAP BEHAVIORAL HEALTH SERVICES INC.

Practice address

66 Burnett Street
Providence, RI 02907

Phone

(401) 785-0050

Fax

(401) 941-0089

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lionel H. FernandezNPI 1073630208

Title

Executive Director

Phone

(401) 785-0050

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Tax ID family

Map Behavioral Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Map Behavioral Health Services, Inc

  • Substance Abuse Rehabilitation Facility
  • Providence, RI
  • NPI 1477951176
  NPD tax ID

Practitioners 2

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

• Marian E Idahosa

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1962973164
  Medicare reassignment NPD
• Lionel Fernandez, MSW

  • Counselor
  • Providence, RI
  • NPI 1073630208
  NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1821218587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BURNETT STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02907",
            "telephone_number": "401-785-0050",
            "fax_number": "401-941-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BURNETT STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02907",
            "telephone_number": "401-785-0050",
            "fax_number": "401-941-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAP BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-785-0050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "6131",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "1022060",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA01418",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rishik Manthana
• Ariel Manzo
• Manzolillo Chiropractic Center Inc.
• Luigi Manzolillo, DC
• Map Behavioral Health Group
• Map Behavioral Health Services, Inc
• Muhammad Haisum Maqsood, MD
• Johnathan Andrew Marasco, MD
• Marc Weinberg MD Personal Healthcare LTD
• Edward J. Marcaccio Jr., MD

• Substance Abuse Rehabilitation Facility in Providence, RI
• Providers in Providence, RI by specialty
• Substance Abuse Rehabilitation Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.