| Open Door Health | |
|
7 Central St Providence RI 02907-2201 | |
| (401) 648-4700 | |
| (833) 905-2260 |
| Full Name | Open Door Health |
|---|---|
| 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 |
|---|---|
| Open Door Health Po Box 6088 Providence RI 02940-6088 Ph: (401) 648-4700 | Open Door Health 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 |
| Medicare PECOS PAC ID | 7810324597 |
|---|---|
| Medicare Enrollment ID | O20200218002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669024329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Alan Epstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831157908 PECOS PAC ID: 7911956826 Enrollment ID: I20050118000927 |
| 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 | 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 |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |
The Providence Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 | |
Barrington Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 | |
Hallworth House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |