Healthcare Provider Details

I. General information

NPI: 1679638530
Provider Name (Legal Business Name): VANTAGE POINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JAMES P MURPHY HIGHWAY SUITE 103
WEST WARWICK RI
02893
US

IV. Provider business mailing address

1 JAMES P MURPHY HIGHWAY SUITE 103
WEST WARWICK RI
02893
US

V. Phone/Fax

Practice location:
  • Phone: 401-615-0648
  • Fax: 401-615-9540
Mailing address:
  • Phone: 401-615-0648
  • Fax: 401-615-9540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberISW01152
License Number StateRI

VIII. Authorized Official

Name: DR. KATHLEEN ANN CARTY
Title or Position: PRESIDENT
Credential: PHD, MSW, LICSW
Phone: 401-615-0648