NICKERSON COMMUNITY CENTER
NPI 1457549578
Residential Treatment Facility, Emotionally Disturbed Children in Providence, RI

Q: What is Nickerson Community Center's NPI number?

The NPI number for Nickerson Community Center is 1457549578. It was assigned to this organization in the NPPES registry on October 15, 2007.

Q: What is Nickerson Community Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since October 15, 2007

97 DELAINE ST, PROVIDENCE, RI 02909(401) 383-5672 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nickerson Community Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKERSON COMMUNITY CENTER (NPI 1457549578) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Providence, Rhode Island and active in the NPI registry since October 2007. The organization lists Lisa D'ambra, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457549578

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameNICKERSON COMMUNITY CENTER

Location Address97 DELAINE STProvidence, RI 02909-2726

Mailing Address133 Delaine StProvidence, RI 02909-2728 · (401) 351-2241

Phone(401) 383-5672

Organization SubpartNo

Authorized OfficialLisa D'ambraExecutive Director · (401) 351-2241

Enumeration DateOctober 15, 2007

✔ NPI 1457549578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

97 DELAINE ST, Providence, RI 02909

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickerson Community Center's NPI number?

The NPI number for Nickerson Community Center is 1457549578. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Nickerson Community Center located?

Nickerson Community Center is located at 97 Delaine St, Providence, RI 02909. The listed phone number is (401) 383-5672.

What is Nickerson Community Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Nickerson Community Center was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.