East Side Psychotherapy, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAST SIDE PSYCHOTHERAPY, INC.

Practice address

205 Waterman St # 201
Providence, RI 02906-4313

Phone

(401) 263-2272

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Robin Sher, MSW, LICSWNPI 1205055308

Title

President

Phone

(401) 263-2722

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

East Side Psychotherapy 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.

• East Side Psychotherapy, Inc.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1538039466
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth R. Sher, L.I.C.S.W.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1205055308
  NPD Authorized official

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1962002006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WATERMAN ST # 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064313",
            "telephone_number": "401-263-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WATERMAN ST # 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064313",
            "telephone_number": "401-263-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SHER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-263-2722",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ES72810",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eliza@eastsidepsychotherapyri.com",
            "affiliation": "N",
            "address_1": "205 Waterman St # 201",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029064313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• East Side Orthopaedics, Inc
• East Side Prescription Center Inc
• East Side Primary Care Providence LLC
• East Side Psychiatric Associates, LTD
• East Side Psychotherapy, Inc.
• East Side Urgent Care LLC
• East Side Vision Care Inc
• Rotunda East, BCC
• Easter Seals Rhode Island
• Easter Seals Rhode Island

• Community/Behavioral Health Agency in Providence, RI
• Providers in Providence, RI by specialty
• Community/Behavioral Health Agency in Rhode Island

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