Organization
COASTAL MEDICAL, INC
Active
Organization
COASTAL MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERYL MOSS (COO)
(401) 421-4000
Entity
Organization
Contact information
Practice address
900 WARREN AVE, STE 401, EAST PROVIDENCE, RI 02914-1430
(401) 421-4000
Mailing address
10 DAVOL SQ, STE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
03/26/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up