Michael Pendergast

LBN: Michael Pendergast
Michael Pendergast is an health care organization with primary practice located at 1130 Ten Rod Rd Building D, Suite 307-C, North Kingstown RI 02852-4161. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Michael Pendergast can be contacted via phone (401) 301-4526, or through Pendergast, Michael Cole via phone (401) 301-4526.

Contact Information

Primary practice address
1130 Ten Rod Rd Building D, Suite 307-C North Kingstown RI 02852-4161
Phone: (401) 301-4526
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pendergast, Michael Cole LICSW
Phone: (401) 301-4526

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01338 Rhode Island

Profile Details

NPI number 1043660202
LBN Legal business name Michael Pendergast
DBA Doing business as
Authorized official Pendergast, Michael Cole LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2016
Last updated Jun 20th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043660202 NPPES
Other 1124181243 NPI

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