MEDICARE: NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	175T00000X	Peer Specialist
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	626	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1892	OTHER	RI	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093713174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	42 VALLEY RD
Second Line	:
City	:	MIDDLETOWN
State	:	RI
Zip	:	02842-6329
Country	:	US
Telephone Number	:	401-846-1213
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 VALLEY RD
Second Line	:
City	:	MIDDLETOWN
State	:	RI
Zip	:	02842-6329
Country	:	US
Telephone Number	:	401-846-1213
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE ANALYST
Name	:	CHERYL LYNCH
Credential	:
Telephone Number	:	401-846-1213

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	05/29/2026

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Directions to “NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC ” Practice Location

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