Active NPI
Canaan Psychotherapy Inc,
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Warwick, RI
National Provider Identifier
1982118295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- CAPRN00031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia P Longway, APRN CNS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BNP001353 | Other | RI | BEACON HEALTH OPTIONS |
| 1861447831 | Other | RI | BCBSRI |
| 1861447831 | Other | RI | OPTUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Warwick, RI
- NPI 1861447831
Psychiatric/Mental Health, Adult, RI
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.