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General NPI Number Information
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NPI Number | 1093713174
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Entity Type | Organization
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Legal Business Name | NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTERS INC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 42 VALLEY ROAD
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City | MIDDLETOWN
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State | RI
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Zip | 02842
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Country | US
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Telephone | 401-846-1213
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Fax | 401-324-6251
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Provider Business Mailing Address
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Address Line | 42 VALLEY ROAD
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City | MIDDLETOWN
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State | RI
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Zip | 02842
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Country | US
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Telephone | 401-846-1213
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Fax | 401-324-6251
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. DAYNA GLADSTEIN
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Credential | LICSW
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Telephone | 401-848-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 626
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License Number State | RI
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