Healthcare Provider Details

I. General information

NPI: 1063425189
Provider Name (Legal Business Name): CHILD AND FAMILY SERVICES OF NEWPORT COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 JOHN CLARKE ROAD
MIDDLETOWN RI
02842-5641
US

IV. Provider business mailing address

31 JOHN CLARKE ROAD
MIDDLETOWN RI
02842-5641
US

V. Phone/Fax

Practice location:
  • Phone: 401-849-2300
  • Fax: 401-848-4156
Mailing address:
  • Phone: 401-849-2300
  • Fax: 401-848-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number604
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateRI

VIII. Authorized Official

Name: MR. MARTIN SINNOTT
Title or Position: CEO / PRESIDENT
Credential:
Phone: 401-849-2300