GREATER RI ADDICTION SERVICES (NPI# 1902085467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902085467 |
| Entity Type | Organization |
| Organization Name | GREATER RI ADDICTION SERVICES |
| Other Organization Name | NONE |
| Practice Address |
1704 Broad St Cranston RI 02905-2720 |
| Practice Telephone | 4014615555 |
| Practice Fax Number | 4014615599 |
| Mailing Telephone | 4014615555 |
| Mailing Fax Number | 4014615599 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | MS. KAREN E. MAINE (ADDICTIONS COUNSELOR) |
| Authorized Official Telephone | 4014615555 |
| Authorized Official Credential | BS,LCDP,RCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDP00390 | RI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| none | Doing Business As Name - Organization |
| Street Address |
1704 BROAD ST |
| City | CRANSTON |
| State | RI |
| Zip Code | 02905-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689811549 | Michael A Parente | Counselor | 1704 Broad St, Cranston, RI 02905-2720 | 2009-01-14 |
| 1245488691 | Deborah A Thatch | Counselor | 1704 Broad St, Cranston, RI 02905-2720 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780067 | Jamie Lynn Souza | Counselor | 1257 Cranston St, Cranston, RI 02920-7315 | 2019-06-21 |
| 1669830402 | Meredith Frost | Counselor | 105 Sockanosset Cross Rd Ste 200, Cranston, RI 02920-5560 | 2016-02-08 |
| 1730550096 | Rebecca Flores | Counselor | 78 Brayton Ave, Cranston, RI 02920-3307 | 2015-10-13 |
| 1407267719 | Victoria Sue Monnett | Counselor | 14 Starline Way, Cranston, RI 02921-3409 | 2014-05-09 |
| 1609295641 | Bethany Contreras | Counselor | 40 Howard Ave, Cranston, RI 02920-3031 | 2014-04-07 |
| 1356775365 | Nikolai Blinow | Counselor | 897 Reservoir Ave, Cranston, RI 02910-4435 | 2013-08-27 |
| 1851545669 | S.t.e.p.s. | Counselor | 678 Park Ave, Suite #2, Cranston, RI 02910-2114 | 2008-11-06 |
| 1770792467 | Caritas Inc | Counselor | 1545 Pontiac Ave, Cranston, RI 02920-4407 | 2007-05-21 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1831280544 | Mary J Mercurio | Counselor | 75 Sockanosset Cross Road, Suite 208, Cranston, RI 02920 | 2006-09-27 |
| Find all providers in CRANSTON | ||||
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| 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.