RECOVERY CONNECTION MEDICAL SERVICES OF AMERICA INC (NPI# 1841769957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841769957 |
| Entity Type | Organization |
| Organization Name | RECOVERY CONNECTION MEDICAL SERVICES OF AMERICA INC |
| Practice Address |
381 Wickenden St Providence RI 02903-4425 |
| Practice Telephone | 8775573155 |
| Practice Fax Number | 4014900905 |
| Mailing Telephone | 8775573155 |
| Mailing Fax Number | 4014900905 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | REGIS BURLAS (PRESIDENT) |
| Authorized Official Telephone | 4014337550 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7 N Main St Ste 200, Attleboro, MA 027032247 | 8775573155 |
| Street Address |
381 WICKENDEN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033345632 | Barrington Urgent Care, PC | Clinic/Center | 381 Wickenden St, Providence, RI 02903-4425 | 2009-06-09 |
| 1407349632 | Erin Elizabeth Oliva | Counselor | 381 Wickenden St, Providence, RI 02903-4425 | 2018-06-12 |
| 1124516349 | Recovery Connection Centers of America, Inc. | Clinic/Center | 381 Wickenden St, Providence, RI 02903-4425 | 2018-04-24 |
| 1205387966 | Second Chnaces, Inc. | Substance Abuse Rehabilitation Facility | 381 Wickenden St, Providence, RI 02903-4425 | 2016-10-18 |
| 1841741501 | Second Chances, Inc. | Substance Abuse Rehabilitation Facility | 381 Wickenden St, Providence, RI 02903-4425 | 2016-10-18 |
| 1215484191 | Recovery Connection Inc | Counselor | 381 Wickenden St, Providence, RI 02903-4425 | 2016-09-08 |
| 1770930182 | Second Chances Inc | Counselor | 381 Wickenden St, Providence, RI 02903-4425 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720198146 | Joseph Lewis Rodgers Jr. | Family Medicine | 66 Pavilion Ave, Providence, RI 02905-1522 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962416982 | Peter B Kassis | Family Medicine | 251 Main Street, Exeter, RI 02822-0282 | 2006-07-27 |
| 1578864187 | George A Southiere Jr Md, PC | Family Medicine | 600 Putnam Pike, Suite 7, Greenville, RI 02828-1486 | 2010-11-12 |
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on RECOVERY CONNECTION MEDICAL SERVICES OF AMERICA INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.