Organization Active NPI

Canaan Psychotherapy Inc,

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Warwick, RI
National Provider Identifier
1982118295
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
CAPRN00031 Issued in RI
Legal business name
CANAAN PSYCHOTHERAPY INC,
Practice address
828 Toll Gate Rd
Warwick, RI 02886-2721
Phone
(401) 385-3936
Fax
(401) 397-3488
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Mrs. Cynthia P Longway, APRN CNSNPI 1861447831
Title
President
Phone
(401) 338-3782

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
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X CAPRN00031 RI Primary

Addresses

Primary practice location

828 Toll Gate Rd
Warwick, RI 02886-2721

Mailing address

140 Lake Dr
West Greenwich, RI 02817-1563
Phone (401) 338-3782

Other identifiers 3

IdentifierTypeStateIssuer
BNP001353OtherRIBEACON HEALTH OPTIONS
1861447831OtherRIBCBSRI
1861447831OtherRIOPTUM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171227000346 RI Part B Supplier - Clinic/Group Practice 8527326347 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI; West Greenwich, RI; Westerly, RI

National Provider Directory

National Provider Directory

Locations

828 Toll Gate Rd
Warwick, RI 02886
Phone (401) 385-3936

780 Victory Hwy
West Greenwich, RI 02817
Phone (401) 338-3782

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": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1982118295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LAKE DR",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171563",
            "telephone_number": "401-338-3782",
            "fax_number": "401-397-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862721",
            "telephone_number": "401-385-3936",
            "fax_number": "401-397-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAAN PSYCHOTHERAPY INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "LONGWAY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-338-3782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN CNS"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "CAPRN00031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "BNP001353",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "1861447831",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "1861447831",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.