| Child & Family (dba) | |
|
31 John Clarke Road Middletown RI 02842-5641 | |
| (401) 849-2300 | |
| (401) 848-4156 |
| Full Name | Child & Family (dba) |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 John Clarke Road, Middletown, Rhode Island |
| Authorized Official Name and Position | Martin Sinnott (CEO / PRESIDENT) |
| Authorized Official Contact | 4018492300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family (dba) 31 John Clarke Road Middletown RI 02842-5641 Ph: (401) 849-2300 | Child & Family (dba) 31 John Clarke Road Middletown RI 02842-5641 Ph: (401) 849-2300 |
| NPI Number | 1063425189 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 5991768327 |
|---|---|
| Medicare Enrollment ID | O20041108000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063425189 | NPI | - | NPPES |
| 9009460 | Medicaid | RI |
| Provider Name | Jacob T Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689732497 PECOS PAC ID: 6406994870 Enrollment ID: I20091105000472 |
| Provider Name | Elizabeth A Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942339171 PECOS PAC ID: 6406027705 Enrollment ID: I20110919000017 |
| Provider Name | Susan A Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083033088 PECOS PAC ID: 3476869496 Enrollment ID: I20150904001058 |
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