NICKERSON COMMUNITY CENTER – NPI #1457549578
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

NICKERSON COMMUNITY CENTER is a residential treatment facility located in PROVIDENCE, RI. NPPES has assigned the NPI number 1457549578 to NICKERSON COMMUNITY CENTER on October 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 NICKERSON COMMUNITY CENTER below.

NPI Profile for
NICKERSON COMMUNITY CENTER

NPI Number
1457549578
Enumeration Date

(more than 18 years 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
NICKERSON COMMUNITY CENTER
Primary location
97 DELAINE ST
PROVIDENCE, RI 02909-2726
Phone: (401) 383-5672 Fax:
Mailing address
133 DELAINE ST
PROVIDENCE, RI 02909-2728
Phone: (401) 351-2241 Fax:
Organization Subpart
No
Authorized Official
LISA D'AMBRA
EXECUTIVE DIRECTOR
Phone: (401) 351-2241
Updated
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
251S00000X
- Community/Behavioral Health

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.