OrganizationActiveAccepts Medicare

The Providence Center Inc

NPI 1104847946 · Mental Health Clinic/Center (Including Community Mental Health Center) · Providence, RI

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1104847946
Entity type: Organization
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Carla Sosa, Credentialing Specialist(401) 921-7386

Specialties & taxonomies

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801X
Ambulatory Health Care Facilities
Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Community/Behavioral Health Agency251S00000XLicense 631 (RI)
Agencies
Clinical Social Worker

Profile Score

Detailed profile(100/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
8 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

530 N Main St

Providence, RI 02904-5762

Phone: (401) 528-0123

Fax: (401) 528-0124

Street-level locationGet directions

More RI providers

Mailing address

171 Service Ave Fl 2

Warwick, RI 02886-1015

Additional practice locations (7)

111 Howard Ave
Cranston, RI 02920-3001
Phone: (401) 462-1020
174 Armistice Blvd
Pawtucket, RI 02860-3280
Phone: (401) 721-5330
345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6528
100 Highland Ave
Providence, RI 02906-2740
Phone: (401) 383-5051
355 Prairie Ave
Providence, RI 02905-1928
Phone: (401) 415-8844
520 Hope St
Providence, RI 02906-2532
Phone: (401) 274-2500
15 Baker Pine Rd
Richmond, RI 02898-1000
Phone: (401) 491-5909

Enumerated: 2006-07-21
Last updated: 2026-03-25
Certified: 2026-03-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.