Provider Demographics
NPI:1881082436
Name:CLINICAL AND FORENSIC SERVICES, INC.
Entity type:Organization
Organization Name:CLINICAL AND FORENSIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCELROY GRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:508-579-0099
Mailing Address - Street 1:426 SCRABBLETOWN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-3664
Mailing Address - Country:US
Mailing Address - Phone:508-579-0099
Mailing Address - Fax:
Practice Address - Street 1:426 SCRABBLETOWN RD
Practice Address - Street 2:SUITE C
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3664
Practice Address - Country:US
Practice Address - Phone:508-579-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPSOO913103TC0700X
RIPSO1000103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty