OrganizationActive
Providence Va Medical Center
NPI 1114940681 · Adult Mental Health Clinic/Center · Providence, RI
Provider details
- NPI number
- 1114940681
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allan Erickson, Chief Staff(401) 273-7100
- License
- 18598 (RI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 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
1 documented practice location
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
830 Chalkstone Avenue
Providence, RI 02098-4799
Phone: (401) 273-7100
Fax: (401) 457-3354
Street-level locationGet directions
Mailing address
830 Chalkstone Avenue
Providence, RI 02098-4799
Other names (DBA / former)
- Doing business as
- Southeastern Psychiatric Associates
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.