1346327558 NPI number — LEINHAAS & LEINHAAS

Table of content: (NPI 1346327558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346327558 NPI number — LEINHAAS & LEINHAAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEINHAAS & LEINHAAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346327558
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 WELLS ST
Provider Second Line Business Mailing Address:
SUITE #8
Provider Business Mailing Address City Name:
WESTERLY
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02891-2998
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-596-4769
Provider Business Mailing Address Fax Number:
401-596-4276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 WELLS ST
Provider Second Line Business Practice Location Address:
SUITE #8
Provider Business Practice Location Address City Name:
WESTERLY
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02891-2998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-596-4769
Provider Business Practice Location Address Fax Number:
401-596-4276
Provider Enumeration Date:
11/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LEINHAAS
Authorized Official First Name:
MARIE ANNE
Authorized Official Middle Name:
MURPHY
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
401-596-4769

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  ISW00976 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: ISW00979 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: AETNA . This is a "7355218" identifier . This identifiers is of the category "OTHER".
  • Identifier: 34456100031ID . This is a "MAGELLAN BEHAVIORAL HEALT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6219033 . This is a "UNITED HEALTH CARE SRV IN" identifier . This identifiers is of the category "OTHER".
  • Identifier: CHARIHO HIGH SCHOOL . This is a "PL29656" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000020782001 . This is a "BC BS OF RI" identifier . This identifiers is of the category "OTHER".
  • Identifier: PL42650 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004661 . This is a "TRICARE OPT HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2220032 . This is a "CIGNA BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7859295 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50LEINHASRI01 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 989739000000007 . This is a "JON AIDEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1021090 . This is a "BEACON HEALTH STRATEGIES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 140000979RI01 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: LL42134 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004661 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 119174 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 255431 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410051 . This is a "BLUE CHIP" identifier . This identifiers is of the category "OTHER".