SOUTH SHORE CENTER INC
NPI 1255327391
Counselor, Mental Health in Charlestown,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 23, 2005

Contact Information

Po Box 899
Charlestown,
Post Code: 02813
Phone: (401) 364-7705
Fax: (401) 364-9104

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South Shore Center Inc in Charlestown - Counselor, Mental Health

South Shore Center Inc is a Counselor, Mental Health in Charlestown, . South Shore Center Inc practices all healthcare services and medical treatments related to Counselor, Mental Health. The NPI Number for South Shore Center Inc is 1255327391. The last update date is 2013-01-24.

South Shore Center Inc's current location address is Po Box 899, Charlestown, . You can contact this provider via phone number (401) 364-7705 and fax number (401) 364-9104. The mailing address for South Shore Center Inc is Po Box 899, Charlestown, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255327391
Provider Legal Name
SOUTH SHORE CENTER INC
Other Organization Name
SOUTH SHORE CENTER INC
Other Name Type
-
Entity Type
Organization
Location Address
Po Box 899, Charlestown,
Location Phone
(401) 364-7705
Location Fax
(401) 364-9104
Mailing Address
4705a Old Post Rd, Charlestown, Rhode Island(RI)
Mailing Phone
401-364-7705
Mailing Fax
401-364-9104
Enumeration Date
2005-09-23
Last Update Date
2013-01-24
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist, Group Psychotherapy

Taxonomy Code
103TP2701X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 101YM0800X Mental Health Counselor

Counselor, Mental Health

()
2 104100000X Social Worker

Social Worker

()
3 1041C0700X Clinical Social Worker

Social Worker, Clinical

()
4 101YA0400X Addiction (Substance Use Disorder) Counselor

Counselor, Addiction (Substance Use Disorder)

()
5 106H00000X Marriage & Family Therapist

Marriage & Family Therapist

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
201774 Other (non-Medicare) (01) Rhode Island (RI) BLUE CHIP GROUP ID
25450 Other (non-Medicare) (01) Rhode Island (RI) BLUE CROSS GROUP ID
9001875 MEDICAID (05) Rhode Island (RI)
SS02237 MEDICAID (05) Rhode Island (RI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255327391
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221056214318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 221056214318
2 + 2 + 1 + 0 + 5 + 6 + 2 + 1 + 4 + 3 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1255327391 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154324101 GATEWAY HEALTHCARE, INC
Organization
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PAWTUCKET, Rhode Island (RI)
401-724-8400
1245233261 JACK D GOLDSTEIN
Individual
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E PROVIDENCE, Rhode Island (RI)
401-919-5222
1013910074 ROGER L. BROTMAN
Individual
Specialist 825 N MAIN ST
PROVIDENCE, Rhode Island (RI)
401-521-9700
1215930938 CURTIS M WILLIAMS
Individual
Radiology, Diagnostic Ultrasound 38 HAMLET AVE
WOONSOCKET, Rhode Island (RI)
401-762-0020
1073516654 RADIOLOGY ASSOCIATES INC
Organization
Radiology, Diagnostic Ultrasound 38 HAMLET AVE
WOONSOCKET, Rhode Island (RI)
401-762-0020