Provider Demographics
NPI:1720219942
Name:CHILD AND FAMILY PSYCHIATRY, INC.
Entity Type:Organization
Organization Name:CHILD AND FAMILY PSYCHIATRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-572-3313
Mailing Address - Street 1:95 SOCKANOSSET CROSS RD
Mailing Address - Street 2:SUITE #307
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5559
Mailing Address - Country:US
Mailing Address - Phone:401-572-3313
Mailing Address - Fax:
Practice Address - Street 1:95 SOCKANOSSET CROSS RD
Practice Address - Street 2:SUITE #307
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5559
Practice Address - Country:US
Practice Address - Phone:401-572-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12300261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health