Active NPI
R.I.S.a.T., LLC
Doing business as Providence Comprehensive Treatment Center
- Methadone Clinic
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- R.I.S.A.T., LLC
- Doing business as
- Providence Comprehensive Treatment Center
- Practice address
- 66 Pavilion Ave
Providence, RI 02905-1522 - Phone
- (401) 461-9110
- Fax
- (401) 461-9194
- NPI assigned
- Jul 11, 2005
- Organization subpart
- Yes
- Parent organization
- ACADIA HEALTHCARE COMPANY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 716-9335
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 608 | RI | |
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 608 | RI |
Addresses
Primary practice location
66 Pavilion Ave
Providence, RI 02905-1522
Mailing address
6183 Paseo del Norte Ste 200
Carlsbad, CA 92011-1151
Phone (615) 861-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410268 | Other | RI | BLUECHIP RITECARE |
| 84-10032 | Other | RI | UNITED HEALTHCARE |
| 1017610 | Other | RI | BEACON HEALTH STRATEGIES |
| SP02546 | Medicaid | RI |
Other names 1
- Providence Comprehensive Treatment Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200110001779 | RI | Part B Supplier - Opioid Treatment Program (Otp) | 7517392053 |
1 other NPI on this enrollment Practice locations: Providence, RI; Woonsocket, RI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Woonsocket Comprehensive Treatment Center
- Methadone Clinic
- Woonsocket, RI
- NPI 1053319368
O20200110001779
National Provider Directory
National Provider Directory- Tax ID family
- Discovery House
- Part of
- Haven Behavioral Healthcare
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Risat
- Addiction (Substance Use Disorder) Counselor
- Providence, RI
- NPI 1225431885
-
- Addiction (Substance Use Disorder) Counselor
- Providence, RI
- NPI 1396151247
-
- Case Management Agency
- Providence, RI
- NPI 1649515016
-
dba Woonsocket Comprehensive Treatment Center
- Methadone Clinic
- Woonsocket, RI
- NPI 1053319368
-
dba Discovery House RI MH
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Providence, RI
- NPI 1790991537
Locations
1625 Diamond Hill Rd
Woonsocket, RI 02895
Phone (401) 216-1136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Preventive Medicine) Physician
- Woonsocket, RI
- NPI 1295998078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1174521488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6183 PASEO DEL NORTE STE 200",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111151",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 PAVILION AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051522",
"telephone_number": "401-461-9110",
"fax_number": "401-461-9194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R.I.S.A.T., LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
"enumeration_date": "2005-07-11",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-716-9335"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "RI",
"license": "608",
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "RI",
"license": "608",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP RITECARE",
"identifier": "410268",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "84-10032",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1017610",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP02546",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Providence Comprehensive Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.