C.L.U.B Blessed Weight Management Inc.

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Legal business name

C.L.U.B BLESSED WEIGHT MANAGEMENT INC.

Practice address

250 Main St
Pawtucket, RI 02860-4016

Phone

(774) 379-9761

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Jean Barboza, NUTRITION SPECIALISTNPI 1225699010

Title

Fitness & Weight Management Coach

Phone

(774) 379-9761

Specialties & licenses 1

Addresses

Tax ID family

Club Blessed Weight Management 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.

• C.L.U.B Blessed Weight Management Inc.

  • Nutrition Education Nutritionist
  • Pawtucket, RI
  • NPI 1225648397
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie J Barboza

  • Addiction (Substance Use Disorder) Counselor
  • Brockton, MA
  • NPI 1225699010
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1891307187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOORE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071505",
            "telephone_number": "774-379-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604016",
            "telephone_number": "774-379-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.L.U.B BLESSED WEIGHT MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "BARBOZA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "FITNESS & WEIGHT MANAGEMENT COACH",
        "authorized_official_telephone_number": "774-379-9761",
        "authorized_official_credential": "NUTRITION SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Ellen Burns, PAC
• Nancy J Burnside, M.D.
• Aaron Burr, LCSW
• Peter Butler, OT
• C.L.U.B Blessed Weight Management Inc.
• C&Ctransportationllc
• Elier A. Caban Gonzalez
• Vaneza Cabral
• Saina Cadet, MSN-APRN-A-GNP-C
• Meagan Cahoon, PMHNP

• Psychologist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.