Organization Active NPI

Behavioral Medicine and Health Associates

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1831518661
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00583 Issued in RI
Legal business name
BEHAVIORAL MEDICINE AND HEALTH ASSOCIATES
Practice address
145 Wayland Ave
Providence, RI 02906-4303
Phone
(401) 447-5928
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Mr. Christopher Stravato, LMHC, QMHP
Title
Clinical Director
Phone
(401) 447-5928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X RI
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MHC00583 RI Primary

Addresses

Primary practice location

145 Wayland Ave
Providence, RI 02906-4303

Mailing address

145 Wayland Ave
Providence, RI 02906-4303

Other identifiers 1

IdentifierTypeStateIssuer
CS87632MedicaidRI

National Provider Directory

National Provider Directory

Locations

145 Wayland Ave
Providence, RI 02906
Phone (401) 339-3029

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1831518661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064303",
            "telephone_number": "401-447-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE AND HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "STRAVATO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "401-447-5928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, QMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS87632",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.