Addiction Recovery Institute-South
Organization Active NPI Community/Behavioral Health Agency · Warwick, RI
NPI 1265595433 · NPPES record last updated Sep 11, 2015
Key facts
- NPI
- 1265595433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 600.2 (RI)
- Legal business name
- ADDICTION RECOVERY INSTITUTE-SOUTH
- Practice address
- 205 Hallene Rd
Suite 102
Warwick, RI 02886-2450 - Phone
- (401) 737-4788
- Fax
- (401) 736-5299
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory McWilliams
- Title
- Executive Director
- Phone
- (401) 725-2520
Member of 1
Member organizations 1
Practitioners 28
-
Danielle Anne Giorgi, APRN
-
Fredy P Roland, M.D.
-
Kaela Almeida, ACDP
-
Krystle Bell, BA, BS, CADC, LCDP
-
Marisa Ciccone, LCDP
-
Michael D Deforbes, LCDP
-
Jessica Doyle, LCDP
-
Brittany Leigh Ferando, ACDP
-
Lynn Fitzgerald, ACDP
-
Renee Gribbin, ACDP
-
Ashley C Lataille, LCDP
-
Robin N. Pierce-Pacheco, CDP00678
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200203000305 | RI | Part B Supplier - Opioid Treatment Program (Otp) | 4789019548 | Practice locations: Warwick, RI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 600.2 | RI | Yes |
Addresses
Primary practice location
205 Hallene Rd
Suite 102
Warwick, RI 02886-2450
Mailing address
205 Hallene Rd
Suite 102
Warwick, RI 02886-2450
Phone (401) 737-4788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410281 | Other | RI | BLUECHIP-RITECARE |
| 84-99147 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 1005920 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| AR26020 | Medicaid | RI |
Other providers in Warwick, RI
- Lynne A Adams
- Mason Adams
- Adapthealth New England LLC
- Adcare Rhode Island Inc
- Julie Addams
- Olajumoke Adetunji
- Lauren Adler
- Advanced Medical Transports LLC
- Advanced Ultrasound Mobile Imaging
- Aer Mental Wellness
All providers in Warwick, RI · Community/Behavioral Health Agency in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.