1285787564 NPI number — MRS. CATHERINE TORRICE CONROY LMHC

Table of content: MRS. CATHERINE TORRICE CONROY LMHC (NPI 1285787564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285787564 NPI number — MRS. CATHERINE TORRICE CONROY LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONROY
Provider First Name:
CATHERINE
Provider Middle Name:
TORRICE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TORRICE
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
MARIA
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285787564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 ROCKY PINE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02892-1063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-491-9071
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1130 TEN ROD RD
Provider Second Line Business Practice Location Address:
D307B
Provider Business Practice Location Address City Name:
NORTH KINGSTOWN
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02852-4161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-294-3666
Provider Business Practice Location Address Fax Number:
401-294-8565
Provider Enumeration Date:
01/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MHC00190 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 411608 . This is a "BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1061490 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 27352-3 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: CC57840 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".




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