| The Rhode Island Public Health Foundation | |
|
7 Central St Providence RI 02907-2201 | |
| (401) 648-4700 | |
| (833) 905-2260 |
| Full Name | The Rhode Island Public Health Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Central St, Providence, Rhode Island |
| Authorized Official Name and Position | Lynne Malone (CFO) |
| Authorized Official Contact | 4016484700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rhode Island Public Health Foundation Po Box 6088 Providence RI 02940-6088 Ph: (401) 648-4700 | The Rhode Island Public Health Foundation 7 Central St Providence RI 02907-2201 Ph: (401) 648-4700 |
| NPI Number | 1669024329 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 7810324597 |
|---|---|
| Medicare Enrollment ID | O20200218002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669024329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alan Epstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831157908 PECOS PAC ID: 7911956826 Enrollment ID: I20050118000927 |
| Provider Name | Jennifer M Etue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639320013 PECOS PAC ID: 9335276484 Enrollment ID: I20100421000197 |
| Provider Name | Megan Pinkston Camp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447560487 PECOS PAC ID: 7113100389 Enrollment ID: I20110325000010 |
| Provider Name | Philip A Chan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265658116 PECOS PAC ID: 8628232287 Enrollment ID: I20120611000388 |
| Provider Name | Michaela Ann Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090849 PECOS PAC ID: 3375852569 Enrollment ID: I20180306002639 |
| Provider Name | Suzanne Bornschein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528016334 PECOS PAC ID: 5597192377 Enrollment ID: I20200218001302 |
| Provider Name | Trisha Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366053803 PECOS PAC ID: 1658747944 Enrollment ID: I20230424002475 |
| Provider Name | Noor Tell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245853696 PECOS PAC ID: 1456772714 Enrollment ID: I20230510000672 |
| Provider Name | William Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851658215 PECOS PAC ID: 8325361546 Enrollment ID: I20230724000929 |
| Provider Name | Alexandra Cartieri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083270714 PECOS PAC ID: 0749632479 Enrollment ID: I20240118002484 |
| Provider Name | Natalie Fenn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588475578 PECOS PAC ID: 1557881471 Enrollment ID: I20250224000064 |
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