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HOME PORT THERAPY
NPI 1740460872
Clinic/Center - Adult Mental Health in Peace Dale, RI

Active since November 06, 2007
23 NORTH RD STE A25, PEACE DALE, RI 02879(401) 932-1181(401) 783-1154 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Home Port Therapy NPPES

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

HOME PORT THERAPY (NPI 1740460872) is a healthcare organization registered as an adult mental health in Peace Dale, Rhode Island and active in the NPI registry since November 2007. The organization lists Reynard Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1740460872
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHOME PORT THERAPY
Location Address23 NORTH RD STE A25Peace Dale, RI 02879-2176
Mailing Address23 North Rd Ste A25Peace Dale, RI 02879-2176
Phone(401) 932-1181
Fax(401) 783-1154
Organization SubpartNo
Authorized OfficialReynard BullockOwner · (401) 932-1181
Enumeration DateNovember 6, 2007
✔ NPI 1740460872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in RI · MFT00100
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
23 NORTH RD STE A25, Peace Dale, RI 02879
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA L FONTAINE LMFT
Marriage & Family Therapist
23 NORTH RD STE A25
PEACE DALE, RI 02879
Washington County (401) 487-7042

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 Home Port Therapy's NPI number?

The NPI number for Home Port Therapy is 1740460872. It was assigned to this organization in the NPPES registry on November 6, 2007.

Where is Home Port Therapy located?

Home Port Therapy is located at 23 North Rd Ste A25, Peace Dale, RI 02879. The listed phone number is (401) 932-1181.

What is Home Port Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Home Port Therapy was last updated on November 6, 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.