Active NPI
Groden Center, Inc
- Community/Behavioral Health Agency
- Providence, RI
National Provider Identifier
1336297902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GC 02406 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101025001371 | RI | Part B Supplier - Clinic/Group Practice | 6204029093 | Practice locations: Providence, RI |
National Provider Directory
National Provider Directory- Tax ID family
- The Groden Center
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Providence, RI
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-
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-
- Community/Behavioral Health Agency
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- NPI 1114075702
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Warwick, RI
- NPI 1275681728
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1316213267
-
- Developmentally Disabled Services Day Training Agency
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- NPI 1396751830
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1457476954
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1679621072
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Smithfield, RI
- NPI 1700934320
-
- Developmentally Disabled Services Day Training Agency
- Providence, RI
- NPI 1841348257
-
- In Home Supportive Care Agency
- Providence, RI
- NPI 1316308356
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.
-
- Psychologist
- Providence, RI
- NPI 1568641934
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.