Pontillo, Jennifer A

Pontillo, Jennifer A is an sole proprietor health care provider with primary practice located at 3285 S County Trl Ste 2B , East Greenwich RI 02818-1469. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pontillo, Jennifer A can be contacted via phone (781) 423-1856.

Contact Information

Primary practice address
3285 S County Trl Ste 2B East Greenwich RI 02818-1469
Phone: (781) 423-1856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5448 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00267 Rhode Island

Profile Details

NPI number 1760498604
LBN Legal business name Pontillo, Jennifer A
Credentials LMHC, LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Mar 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760498604 NPPES
Other 1021740 NHP/BEACON-GROUP NUMBER
Other 12398397 NHP/BEACON-GROUP NUMBER
Other 413171 NHP/BEACON-GROUP NUMBER
MEDICAID JM5906 NHP/BEACON-GROUP NUMBER
Other 1073750 NHP/BEACON-GROUP NUMBER
Other 83125900 NHP/BEACON-GROUP NUMBER
Other 31117-1 NHP/BEACON-GROUP NUMBER
Other 62-38609 NHP/BEACON-GROUP NUMBER

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