Organization Active NPI

Blue Haven Mental Health L.L.C.

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1992628812
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE HAVEN MENTAL HEALTH L.L.C.
Practice address
700 Narragansett Park Dr # 100
Pawtucket, RI 02861-4326
Phone
(401) 349-7296
NPI assigned
Jul 30, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Jessica McGuire, LICSW
Title
Owner
Phone
(401) 349-7296

National Provider Directory

National Provider Directory

Locations

700 Narragansett Park Dr
#100
Pawtucket, RI 02861

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

700 Narragansett Park Dr # 100
Pawtucket, RI 02861-4326

Mailing address

700 Narragansett Park Dr # 100
Pawtucket, RI 02861-4326
Phone (401) 349-7296

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2026.

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1992628812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NARRAGANSETT PARK DR # 100",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614326",
            "telephone_number": "401-349-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NARRAGANSETT PARK DR # 100",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614326",
            "telephone_number": "401-349-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HAVEN MENTAL HEALTH L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-349-7296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.