Organization Active NPI

Border Behavioral Therapy LLC

  • Clinical Social Worker
  • Harrisville, RI
National Provider Identifier
1902606098
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BORDER BEHAVIORAL THERAPY LLC
Practice address
131 Harrisville Main St # 1
Harrisville, RI 02830-9998
Phone
(401) 465-2726
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Sheri Lynn Brissette, LICSWNPI 1912220963
Title
Licensed Independent Clinical Socia
Phone
(401) 465-2726

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

131 Harrisville Main St # 1
Harrisville, RI 02830-9998

Mailing address

PO Box 1
Harrisville, RI 02830-0001
Phone (401) 465-2726

Other practice location 1

35 Parkwood Dr
Hopkinton, MA 01748-1699
Phone (401) 465-2726

Other names 1

  • Border Behavioral Therapy LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250527000058 RI Part B Supplier - Clinic/Group Practice 9436678265 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisville, RI

National Provider Directory

National Provider Directory

Locations

35 Parkwood Dr
Hopkinton, MA 01748
Phone (401) 465-2726

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1902606098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "HARRISVILLE",
            "state": "RI",
            "postal_code": "028300001",
            "telephone_number": "401-465-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HARRISVILLE MAIN ST # 1",
            "city": "HARRISVILLE",
            "state": "RI",
            "postal_code": "028309998",
            "telephone_number": "401-465-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "MA",
            "postal_code": "017481699",
            "country_code": "US",
            "telephone_number": "401-465-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BORDER BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BRISSETTE",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT CLINICAL SOCIA",
        "authorized_official_telephone_number": "401-465-2726",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Border Behavioral Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harrisville, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.