| Jewish Family Services | |
|
1165 N Main St Providence RI 02904-5740 | |
| (401) 331-1244 | |
| (401) 331-5772 |
| Full Name | Jewish Family Services |
|---|---|
| Speciality | Counselor |
| Location | 1165 N Main St, Providence, Rhode Island |
| Authorized Official Name and Position | Merelise A Hitte (CFO) |
| Authorized Official Contact | 4013311244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services 1165 N Main St Providence RI 02904-5740 Ph: (401) 331-1244 | Jewish Family Services 1165 N Main St Providence RI 02904-5740 Ph: (401) 331-1244 |
| NPI Number | 1588673347 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 09/06/2019 |
| Medicare PECOS PAC ID | 5395788012 |
|---|---|
| Medicare Enrollment ID | O20050603000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588673347 | NPI | - | NPPES |
| JF12893 | Medicaid | RI | |
| 101YM0800X | Medicaid | RI | |
| 332B00000X | Medicaid | RI | |
| 9009457 | Medicaid | RI | |
| JF12450 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | M G Dayian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316292378 PECOS PAC ID: 8022097609 Enrollment ID: I20040716000734 |
| Provider Name | Joan M Spencer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760450753 PECOS PAC ID: 5496726994 Enrollment ID: I20050218000036 |
| Provider Name | Jessica Fabiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932200763 PECOS PAC ID: 5698851442 Enrollment ID: I20080319000623 |
| Provider Name | Heather P Abrahams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154346500 PECOS PAC ID: 4981772688 Enrollment ID: I20081008000371 |
| Provider Name | Patricia B Harwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265465454 PECOS PAC ID: 1658409610 Enrollment ID: I20100512000418 |
| Provider Name | Meghan Cavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336312677 PECOS PAC ID: 0547441859 Enrollment ID: I20110221000039 |
| Provider Name | Lori L. Fogarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982769162 PECOS PAC ID: 2769701234 Enrollment ID: I20150505001170 |
| Provider Name | Karen Gager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467817601 PECOS PAC ID: 6103125646 Enrollment ID: I20160504001578 |
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