Organization Active NPI

Clinic of Resilience and Empowerment (Core) LLC

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1972349694
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINIC OF RESILIENCE AND EMPOWERMENT (CORE) LLC
Practice address
600 Mount Pleasant Ave 222 Horace Mann
Providence, RI 02908
Phone
(401) 249-0675
Fax
(401) 496-1486
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Prachi KeneNPI 1235441338
Title
Clinical Psychologist
Phone
(401) 249-0675

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

600 Mount Pleasant Ave 222 Horace Mann
Providence, RI 02908

Mailing address

5600 Post Road # 114
PMB 301
East Greenwich, RI 02818
Phone (401) 249-0675

National Provider Directory

National Provider Directory

Locations

5600 Post Rd
Unit 114
East Greenwich, RI 02818
Phone (401) 249-0675

600 Mount Pleasant Ave
#222
Providence, RI 02908
Phone (401) 249-0675

Practitioners & affiliated clinicians

Practitioners 1

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": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1972349694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 POST ROAD # 114",
            "address_2": "PMB 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-249-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVE 222 HORACE MANN",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02908",
            "telephone_number": "401-249-0675",
            "fax_number": "401-496-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF RESILIENCE AND EMPOWERMENT (CORE) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "KENE",
        "authorized_official_first_name": "PRACHI",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-249-0675"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 2024; 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.