NPI 1114137585 · live from the CMS NPI Registry
Child Health & Behavior, INC.
Psychologist in Providence, RI. National Provider Identifier 1114137585, active.
NPI record
| NPI | 1114137585 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 154 Waterman St, Providence, RI 02906 |
| Practice phone | 401-273-3322 |
| Mailing address | 990 Main St, West Barnstable, MA 02668 |
| Enumerated | May 23, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Matthew Daniels, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.