Healthcare Provider Details

I. General information

NPI: 1710592944
Provider Name (Legal Business Name): BARRINGTON BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 WASECA AVE
BARRINGTON RI
02806-3562
US

IV. Provider business mailing address

22 WOBURN RD
RUMFORD RI
02916-2819
US

V. Phone/Fax

Practice location:
  • Phone: 401-245-0015
  • Fax: 401-245-0124
Mailing address:
  • Phone: 401-237-0015
  • Fax: 401-245-1240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER M OPPENHEIMER
Title or Position: CLINICAL PSYCHOLOGIST/OWNER
Credential: PHD
Phone: 401-245-0015