Community/behavioral Health In Cranston Rhode Island

NPI list of 9 community/behavioral health registered providers with a business address in Cranston, RI, all registered as organizations. A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

NPI Name Type Taxonomy Address Medicare PECOS
1053820274INNER PEACE COUNSELING, LLCOrganizationCommunity/Behavioral Health875 OAKLAWN AVE STE 303
CRANSTON, RI 02920
Non-Participating ProviderNO
1073649471ACCESSPOINT RIOrganizationCommunity/Behavioral Health111 COMSTOCK PKWY
CRANSTON, RI 02921
(401) 941-1112
Non-Participating ProviderNO
1134759871CREATE BALANCE, LLCOrganizationCommunity/Behavioral Health155 PARK AVE STE 21
CRANSTON, RI 02905
(401) 753-4325
Non-Participating ProviderNO
1528347093DISCOVERY HOUSEOrganizationCommunity/Behavioral Health48 DARTMOUTH RD
CRANSTON, RI 02920
(401) 762-1511
Non-Participating ProviderNO
1649305830ST. MARY'S HOME FOR CHILDRENOrganizationCommunity/Behavioral Health135 NORWOOD AVE
CRANSTON, RI 02905
(401) 784-3530
Non-Participating ProviderNO
1649714023SEVEN HILLS RHODE ISLANDOrganizationCommunity/Behavioral Health178 NORWOOD AVE
CRANSTON, RI 02905
(401) 921-1470
Non-Participating ProviderNO
1770617516RHODE ISLAND COUNSELING AND HYPNOTHERAPY CENTER INCOrganizationCommunity/Behavioral Health875 OAKLAWN AVE
CRANSTON, RI 02920
(401) 751-8600
Non-Participating ProviderNO
1770849259COMPREHENSIVE COMMUNITY ACTION, INCOrganizationCommunity/Behavioral Health311 DORIC AVE
CRANSTON, RI 02910
(401) 467-9610
Non-Participating ProviderNO
1811258494ACCESSPOINT RIOrganizationCommunity/Behavioral Health111 COMSTOCK PKWY
CRANSTON, RI 02921
(401) 667-2795
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.