Provider Demographics
NPI:1568543361
Name:WEST BAY PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:WEST BAY PSYCHIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:GESUALDI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:401-732-4500
Mailing Address - Street 1:300 CENTERVILLE ROAD
Mailing Address - Street 2:SUMMIT WEST SUITE 101
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-732-4500
Mailing Address - Fax:401-732-7766
Practice Address - Street 1:300 CENTERVILLE ROAD
Practice Address - Street 2:SUMMIT WEST SUITE 101
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-732-4500
Practice Address - Fax:401-732-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)