SUPPORTIVE CARE I OF RHODE ISLAND PC
NPI 1912666454
Psychologist - Clinical in Providence, RI
About Supportive Care I Of Rhode Island Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPPORTIVE CARE I OF RHODE ISLAND PC (NPI 1912666454) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since December 2021. The organization lists Dov Newmark, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Supportive Care I Of Rhode Island Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
93Medicare enrollment records show 93 clinicians reassign Medicare billing to Supportive Care I Of Rhode Island PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 93Providence, RI 02906
Providence, RI 02906
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 Supportive Care I Of Rhode Island PC's NPI number?
The NPI number for Supportive Care I Of Rhode Island PC is 1912666454. It was assigned to this organization in the NPPES registry on December 13, 2021.
Where is Supportive Care I Of Rhode Island PC located?
Supportive Care I Of Rhode Island PC is located at 17 Adelphi Ave, Providence, RI 02906. The listed phone number is (718) 298-4375.
What is Supportive Care I Of Rhode Island PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Supportive Care I Of Rhode Island PC enrolled in Medicare?
Yes. Supportive Care I Of Rhode Island PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Supportive Care I Of Rhode Island PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 93 clinicians in 5 Medicare specialties reassign their Medicare billing to Supportive Care I Of Rhode Island PC. 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. The largest specialties are Nurse Practitioner (48), Clinical Social Worker (24) and Mental Health Counselor (13). Of these, 1 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Supportive Care I Of Rhode Island PC was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Supportive Care I Of Rhode Island Pc · NPI 1912666454
Clinical organization in Providence, Rhode Island. Organization record, active in the CMS NPPES registry since December 13, 2021.
## Identity
- **NPI:** 1912666454 (Entity type: Organization)
- **Enumerated:** December 13, 2021
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Dov Newmark, PRESIDENT
## Practice location
- **Address:** 17 ADELPHI AVE, Providence, RI 02906-4119
- **Phone:** (718) 298-4375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 93 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (48), Clinical Social Worker (24), Mental Health Counselor (13); 1 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1912666454/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912666454) · Data from the CMS NPPES public registry.