Provider Demographics
NPI:1417470741
Name:PARADIGM SHIFT
Entity Type:Organization
Organization Name:PARADIGM SHIFT
Other - Org Name:PARADIGM SHIFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-413-5358
Mailing Address - Street 1:1395 ATWOOD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-4931
Mailing Address - Country:US
Mailing Address - Phone:401-383-7633
Mailing Address - Fax:
Practice Address - Street 1:1395 ATWOOD AVE STE 201
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-4931
Practice Address - Country:US
Practice Address - Phone:401-383-7633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1891730578OtherBEHAVIORAL HEALTH