Tides Of Mind Counseling Of Rhode Island - Medicare Mental Health Clinic in Providence, RI

Tides Of Mind Counseling Of Rhode Island is a medicare enrolled mental health clinic (Psychologist - Counseling) in Providence, Rhode Island. The current practice location for Tides Of Mind Counseling Of Rhode Island is 245 Waterman St Ste 200, Providence, Rhode Island. For appointments, you can reach them via phone at (401) 369-8192. The mailing address for Tides Of Mind Counseling Of Rhode Island is 67 Burnside Ave, East Hartford, Connecticut and phone number is (952) 246-4564.

Tides Of Mind Counseling Of Rhode Island is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003688037. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 369-8192.

Contact Information

Tides Of Mind Counseling Of Rhode Island
245 Waterman St Ste 200
Providence
RI 02906-5215
(401) 369-8192
Not Available

Mental Health Clinic Profile

Full NameTides Of Mind Counseling Of Rhode Island
SpecialityPsychologist
Location245 Waterman St Ste 200, Providence, Rhode Island
Authorized Official Name and PositionAmanda Bronson (CEO)
Authorized Official Contact7045066267
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tides Of Mind Counseling Of Rhode Island
67 Burnside Ave
East Hartford
CT 06108-3408

Ph: (952) 246-4564
Tides Of Mind Counseling Of Rhode Island
245 Waterman St Ste 200
Providence
RI 02906-5215

Ph: (401) 369-8192

NPI Details:

NPI Number1003688037
Provider Enumeration Date10/24/2023
Last Update Date12/07/2023
Certification Date12/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9436502879
Medicare Enrollment IDO20240313001329

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Medical Identifiers

Medical identifiers for Tides Of Mind Counseling Of Rhode Island such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003688037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tides Of Mind Counseling Of Rhode Island acts as a billing entity for following providers:
Provider NameSarah A Ostrom
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922245620
PECOS PAC ID: 2860740750
Enrollment ID: I20180809000790

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Provider NameSamuel Wallace Peloquin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154069045
PECOS PAC ID: 3870957723
Enrollment ID: I20230912001378

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