| Scmg Behavioral Health & Community Health Team | |
|
1 High St Wakefield RI 02879-3103 | |
| (401) 788-2310 | |
| (401) 788-8529 |
| Full Name | Scmg Behavioral Health & Community Health Team |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 High St, Wakefield, Rhode Island |
| Authorized Official Name and Position | Thomas Breen (CFO) |
| Authorized Official Contact | 4017881605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scmg Behavioral Health & Community Health Team Po Box 229 Wakefield RI 02880-0229 Ph: (401) 788-8757 | Scmg Behavioral Health & Community Health Team 1 High St Wakefield RI 02879-3103 Ph: (401) 788-2310 |
| NPI Number | 1104871003 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4688661127 |
|---|---|
| Medicare Enrollment ID | O20060815000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104871003 | NPI | - | NPPES |
| Provider Name | Anthony Gallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780622449 PECOS PAC ID: 7416934799 Enrollment ID: I20081113000364 |
| Provider Name | Cassandra Tibbits |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013421858 PECOS PAC ID: 8123389608 Enrollment ID: I20180224000029 |
| Provider Name | Holly B. Fuscaldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639786619 PECOS PAC ID: 3678970472 Enrollment ID: I20210921003236 |
| Provider Name | Susan Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952051385 PECOS PAC ID: 9830585207 Enrollment ID: I20220412000928 |
| Provider Name | Olivia Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801588827 PECOS PAC ID: 7012374820 Enrollment ID: I20230609002835 |
| Provider Name | Ashley A. Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356969588 PECOS PAC ID: 0345693875 Enrollment ID: I20240131002410 |
| Provider Name | Michelle Kurzbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710669577 PECOS PAC ID: 0345685020 Enrollment ID: I20240304003844 |
Kathleen Levy Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Salt Pond Rd Ste B4, Wakefield, RI 02879 Phone: 401-788-9500 Fax: 401-788-9500 | |
Of The Heart, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Old Tower Hill Rd Ste 201c, Wakefield, RI 02879 Phone: 401-339-0521 | |
Catherine Hearne Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Old Tower Hill Rd # 1003, Wakefield, RI 02879 Phone: 401-450-2264 | |
Cmb Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Old Tower Hill Rd Ste 208, Wakefield, RI 02879 Phone: 401-284-7414 Fax: 949-655-2738 | |
Bertram Gibbes, Ph.d., Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 481a Kingstown Rd, Suite D, Wakefield, RI 02879 Phone: 401-782-1667 Fax: 104-782-1669 | |
Burrows Mental Health Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Holley St, Wakefield, RI 02879 Phone: 401-284-0446 Fax: 401-284-3236 |