Active NPIIndividual providerSole proprietor

Paul J Boorom Jr., MA CAGS

Counselor, Mental Health in North Smithfield, Rhode Island

NPI Number1740369990
Practice location
18 Village Way, North Smithfield, RI 02896-7246
Fax
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Last updated
August 18, 2022

Paul J Boorom is a Counselor, Mental Health based in North Smithfield, RI. Paul J Boorom practices in North Smithfield, RI and has the professional credentials of MA CAGS. The NPI Number for Paul J Boorom is 1740369990 and holds a License No. mhc00428 (RI). The current practice location address for Paul J Boorom is 18 Village Way, North Smithfield, RI 02896-7246 and can be reached out via phone at 401-447-2227.

Provider Profile Details

NPI Number
1740369990
Provider Name
Paul J Boorom
Credential
MA CAGS
Provider Entity Type
Individual
Gender
Male
Address
18 Village Way, North Smithfield, RI 02896-7246
Phone Number
401-447-2227
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2006
Last Update Date
August 18, 2022
Certification Date
August 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Village Way
North Smithfield, RI 02896-7246
Zip
02896-7246
Phone Number
401-447-2227
North Smithfield, RI 02896Get directions →

Provider Business Mailing Address Details

Address
18 Village Way
North Smithfield, RI 02896-7246
City
North Smithfield
State
RI
Zip
02896-7246
Phone Number
401-762-4422

License Information

License Number (1)
mhc00428
License State (1)
RI
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
PC372
License State (2)
RI
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul J Boorom Jr., MA CAGS?

The NPI number of Paul J Boorom Jr., MA CAGS is 1740369990. It was assigned on November 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Paul J Boorom Jr., MA CAGS?

Paul J Boorom Jr., MA CAGS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number mhc00428.

Where does Paul J Boorom Jr., MA CAGS practice?

The practice location is 18 Village Way, North Smithfield, RI 02896-7246. The office can be reached at 401-447-2227 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740369990 directly on the NPPES registry website.

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