East Bay Communtiy Action Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EAST BAY COMMUNTIY ACTION PROGRAM

Practice address

19 Broadway
Newport, RI 02840-2937

Phone

(401) 848-6697

Fax

(401) 841-0264

NPI assigned

May 25, 2007

Organization subpart

No

Name

Mr. Rilwan Feyisitan

Title

Chief Executive Officer

Phone

(401) 848-6697

Organizations that report the same tax identification number in the National Provider Directory.

• East Bay Community Action Program

  • Community/Behavioral Health Agency
  • Barrington, RI
  • NPI 1356283063
  NPD tax ID
• East Bay Community Action Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, RI
  • NPI 1487916136
  NPD tax ID
• East Bay Community Action Program

  • Case Management Agency
  • Riverside, RI
  • NPI 1669210316
  NPD tax ID
• East Bay Community Action Program

  • Dental Clinic/Center
  • Newport, RI
  • NPI 1861439705
  NPD tax ID

Tax ID family

New Visions for Newport (5 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2023.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1114138773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402937",
            "telephone_number": "401-848-6697",
            "fax_number": "401-841-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402937",
            "telephone_number": "401-848-6697",
            "fax_number": "401-841-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY COMMUNTIY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "FEYISITAN",
        "authorized_official_first_name": "RILWAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "401-848-6697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rae Dubois, PSY.D.
• Margaret Reagan Dupont, LICSW
• Sarah Durr, OTR/L
• Ralph Thomas Earp, MD
• East Bay Community Action Program
• East Bay Psychological Services LLC
• Eat to Live
• Samuel Hamilton Eaton, M.D.
• Jenna Eccleston
• Charlene Viveiros Eggeman, RN CDOE

• All providers in Newport, RI
• Case Management Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.