Active NPI
East Side Psychiatric Associates, LTD
- Psychiatry Physician
- Providence, RI
National Provider Identifier
1912396805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12771
- Legal business name
- EAST SIDE PSYCHIATRIC ASSOCIATES, LTD
- Practice address
- 295 Angell St Ste 5
Providence, RI 02906-2119 - Phone
- (401) 860-4101
- NPI assigned
- Jan 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Christopher, M.D.
- Title
- President
- Phone
- (401) 680-4101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12771 | RI | Primary |
Addresses
Primary practice location
295 Angell St Ste 5
Providence, RI 02906-2119
Mailing address
295 Angell St Ste 5
Providence, RI 02906-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881756500 | Other | RI | BLUE CROSS AND BLUE CHIP |
National Provider Directory
National Provider DirectoryLocations
295 Angell St
Ste 5
Providence, RI 02906
Phone (401) 860-4101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421193600000",
"number": "1912396805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 ANGELL ST STE 5",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 ANGELL ST STE 5",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062119",
"telephone_number": "401-860-4101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST SIDE PSYCHIATRIC ASSOCIATES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-14",
"last_updated": "2015-01-14",
"status": "A",
"authorized_official_last_name": "CHRISTOPHER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-680-4101",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "12771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE CHIP",
"identifier": "1881756500",
"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 Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.