Provider Demographics
NPI:1386845642
Name:NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CIS THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KASHETA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:401-848-6363
Mailing Address - Street 1:735 WILLETT AVE
Mailing Address - Street 2:UNIT 905
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2600
Mailing Address - Country:US
Mailing Address - Phone:401-632-4514
Mailing Address - Fax:
Practice Address - Street 1:26 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6371
Practice Address - Country:US
Practice Address - Phone:401-848-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health