NPIMap

Organization Active NPI

Nancy Lynn Levesque Kubic

Doing business as Psychological Wellness Center

  • Mental Health Counselor
  • Tiverton, RI
National Provider Identifier
1902054323
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NANCY LYNN LEVESQUE KUBIC
Doing business as
Psychological Wellness Center
Practice address
625 Main Rd
Tiverton, RI 02878-1351
Phone
(401) 816-5800
Fax
(401) 816-5802
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Mrs. Nancy Lynn Kubic, LICSWNPI 1477657757
Title
Licsw
Phone
(401) 816-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

625 Main Rd
Tiverton, RI 02878-1351

Mailing address

625 Main Rd
Tiverton, RI 02878-1351
Phone (401) 816-5800

Other identifiers 4

IdentifierTypeStateIssuer
1082610OtherMABEACON HEALTH STRATEGIES
294863OtherRIRHODE ISLAND BLUE CROSS & BLUE SHIELD
7651763OtherTXAETNA
NK68179OtherRIRHODE ISLAND MEDICAL ASSISTANCE

Other names 1

  • Psychological Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1902054323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781351",
            "telephone_number": "401-816-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781351",
            "telephone_number": "401-816-5800",
            "fax_number": "401-816-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY LYNN LEVESQUE KUBIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "KUBIC",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "401-816-5800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1082610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUE CROSS & BLUE SHIELD",
            "identifier": "294863",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7651763",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND MEDICAL ASSISTANCE",
            "identifier": "NK68179",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiverton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.