Organization Active NPI

Kelley Gemma, LLC Dba Ocean State Psychotherapy, Inc.

  • Mental Health Counselor
  • North Kingstown, RI
National Provider Identifier
1821384207
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ISW001777 Issued in RI
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

Updated by the provider on Jun 23, 2011

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.