Organization Active NPI

Groden Center, Inc

  • Community/Behavioral Health Agency
  • Providence, RI
National Provider Identifier
1336297902
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRODEN CENTER, INC
Practice address
610 Manton Ave
Providence, RI 02909-5633
Phone
(401) 274-6310
Fax
(401) 421-1077
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Toe
Title
Cfo
Phone
(401) 274-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

610 Manton Ave
Providence, RI 02909-5633

Mailing address

610 Manton Ave
Providence, RI 02909-5633
Phone (401) 274-6310

Other practice location 1

86 Mount Hope Ave
Providence, RI 02906-1648
Phone (401) 274-6310 ext. 1226

Other identifiers 1

IdentifierTypeStateIssuer
GC 02406MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101025001371 RI Part B Supplier - Clinic/Group Practice 6204029093 Practice locations: Providence, RI

National Provider Directory

National Provider Directory
Tax ID family
The Groden Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

610 Manton Ave
Ofc
Providence, RI 02909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1336297902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MANTON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095633",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MANTON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095633",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Mount Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029061648",
            "country_code": "US",
            "telephone_number": "401-274-6310 x1226",
            "fax_number": "401-421-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRODEN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "TOE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-274-6310"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC 02406",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2026; 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.

Verify at the official NPI Registry.