Discovery House Utah

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

608.3 Issued in RI

Legal business name

DISCOVERY HOUSE UTAH

Doing business as

Discovery House West Warwic

Practice address

88 W Warwick Ave
West Warwick, RI 02893-3871

Phone

(401) 821-8866

Fax

(401) 821-1319

NPI assigned

Jul 11, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Morris

Title

Vice President of Finance

Phone

(401) 780-2300

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Discovery House West Warwic Doing business as

Tax ID family

Discovery House Utah Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Discovery House Utah, Inc.

  • Methadone Clinic
  • Salt Lake City, UT
  • NPI 1306829122
  NPD tax ID

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417955733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-780-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W WARWICK AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933871",
            "telephone_number": "401-821-8866",
            "fax_number": "401-821-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY HOUSE UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "401-780-2300"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "RI",
            "license": "608.3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1029400",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8410032",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED RITECARE",
            "identifier": "8481061",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DH42856",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP RITECARE",
            "identifier": "410268",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery House West Warwic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milca Delacruz
• Joshua Kalin Deloney
• Emily Mary Deluca, LCSW
• Ariana Depena, LMT
• Vasseur Doria Desir Kamseu, DMD
• Mei Dong, DMD
• Edward M Donnelly, MD
• Jessica Cardillo Douglas, FNP
• Deborah Drew, CNM
• Mitzi Kim Dusin, MS, ATC

• Substance Use Disorder Rehabilitation Clinic/Center in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.