Active NPI
Kelley Gemma, LLC Dba Ocean State Psychotherapy, Inc.
- Mental Health Counselor
- North Kingstown, RI
National Provider Identifier
1821384207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ISW001777
- Legal business name
- KELLEY GEMMA, LLC DBA OCEAN STATE PSYCHOTHERAPY, INC.
- Practice address
- 1130 Ten Rod Rd
Suite F 203
North Kingstown, RI 02852-4161 - Phone
- (401) 268-3886
- Fax
- (401) 268-3887
- NPI assigned
- Jun 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelley E Gemma, LICSW
- Title
- President/Clinical Director
- Phone
- (401) 268-3886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ISW001777 | RI | Primary |
Addresses
Primary practice location
1130 Ten Rod Rd
Suite F 203
North Kingstown, RI 02852-4161
Mailing address
1130 Ten Rod Rd
Suite F 203
North Kingstown, RI 02852-4161
Phone (401) 268-3886
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- North Kingstown, RI
- NPI 1851458665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308787200000",
"number": "1821384207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD",
"address_2": "SUITE F 203",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524161",
"telephone_number": "401-268-3886",
"fax_number": "401-268-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD",
"address_2": "SUITE F 203",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524161",
"telephone_number": "401-268-3886",
"fax_number": "401-268-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLEY GEMMA, LLC DBA OCEAN STATE PSYCHOTHERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A",
"authorized_official_last_name": "GEMMA",
"authorized_official_first_name": "KELLEY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "401-268-3886",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "ISW001777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.