Organization Active NPI

Compass Therapy LLC

  • Community/Behavioral Health Agency
  • Wakefield, RI
National Provider Identifier
1902686728
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPASS THERAPY LLC
Practice address
169 Briarwood Dr
Wakefield, RI 02879-2834
Phone
(401) 515-5802
NPI assigned
Sep 29, 2023
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Holly Fuscaldo, LICSWNPI 1639786619
Title
Clinician
Phone
(401) 515-5802

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

169 Briarwood Dr
Wakefield, RI 02879-2834

Mailing address

169 Briarwood Dr
Wakefield, RI 02879-2834
Phone (401) 515-5802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207000620 RI Part B Supplier - Clinic/Group Practice 9032568787 Receives reassigned benefits from 1 practitioner
Practice locations: Wakefield, RI

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, 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": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1902686728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BRIARWOOD DR",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792834",
            "telephone_number": "401-515-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BRIARWOOD DR",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792834",
            "telephone_number": "401-515-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "FUSCALDO",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "401-515-5802",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.