EMBRACE HEALING PSYCHIATRIC SERVICES, LLC
NPI 1679977342
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since October 09, 2014
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6357(401) 455-3566 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Embrace Healing Psychiatric Services, Llc NPPES

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

EMBRACE HEALING PSYCHIATRIC SERVICES, LLC (NPI 1679977342) is a healthcare organization registered as a psychiatry in Providence, Rhode Island and active in the NPI registry since October 2014. The organization lists Ghulam Mustafa Surti, President, as its authorized official.

NPPES Registry Identity

NPI1679977342
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameEMBRACE HEALING PSYCHIATRIC SERVICES, LLC
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6357 · Fax (401) 455-6566
Fax(401) 455-3566
Organization SubpartNo
Authorized OfficialGhulam Mustafa SurtiPresident · (401) 455-6357
Enumeration DateOctober 9, 2014
✔ NPI 1679977342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in RI · MD09937
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
345 BLACKSTONE BLVD, Providence, RI 02906

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Embrace Healing Psychiatric Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Embrace Healing Psychiatric Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1861499675
345 BLACKSTONE BLVD
Providence, RI 02906
(401) 455-6200
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Embrace Healing Psychiatric Services, LLC's NPI number?

The NPI number for Embrace Healing Psychiatric Services, LLC is 1679977342. It was assigned to this organization in the NPPES registry on October 9, 2014.

Where is Embrace Healing Psychiatric Services, LLC located?

Embrace Healing Psychiatric Services, LLC is located at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6357.

What is Embrace Healing Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Embrace Healing Psychiatric Services, LLC enrolled in Medicare?

Yes. Embrace Healing Psychiatric Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Embrace Healing Psychiatric Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Embrace Healing Psychiatric Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Embrace Healing Psychiatric Services, LLC was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.