PROVIDENCE CHILD AND FAMILY THERAPY CLINIC – NPI #1598696858
Clinic/Center

PROVIDENCE CHILD AND FAMILY THERAPY CLINIC is an AHC clinic located in RUMFORD, RI. NPPES recently assigned the NPI number 1598696858 to PROVIDENCE CHILD AND FAMILY THERAPY CLINIC on May 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE CHILD AND FAMILY THERAPY CLINIC below.

NPI Profile for
PROVIDENCE CHILD AND FAMILY THERAPY CLINIC

NPI Number
1598696858
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE CHILD AND FAMILY THERAPY CLINIC
Primary location
225 NEWMAN AVE STE 210211
RUMFORD, RI 02916-1218
Phone: (443) 300-8255 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VAMSI TUMMALACHETTY
OWNER/PSYCHOLOGIST
Phone: (217) 361-5700
Updated
Certification Date
May 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.