Provider Demographics
NPI:1679638530
Name:VANTAGE POINT
Entity Type:Organization
Organization Name:VANTAGE POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSW, LICSW
Authorized Official - Phone:401-615-0648
Mailing Address - Street 1:1 JAMES P MURPHY HIGHWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-615-0648
Mailing Address - Fax:401-615-9540
Practice Address - Street 1:1 JAMES P MURPHY HIGHWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893
Practice Address - Country:US
Practice Address - Phone:401-615-0648
Practice Address - Fax:401-615-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW01152302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI20876-7OtherBLUE CROSS BLUE SHIELD
RI406247OtherBLUE CHIP