NPIMap

Organization Active NPI

East Bay Community Action Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, RI
National Provider Identifier
1487916136
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EAST BAY COMMUNITY ACTION PROGRAM
Practice address
610 Wampanoag TRL
Riverside, RI 02915-1504
Phone
(401) 437-1008
Fax
(401) 433-3042
NPI assigned
Jun 8, 2012
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Rilwan Feyisitan
Title
Ceo
Phone
(401) 437-1008

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Community/Behavioral Health Agency 251S00000X RI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X RI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X RI

Addresses

Primary practice location

610 Wampanoag TRL
Riverside, RI 02915-1504

Mailing address

100 Bullocks Point
Riverside, RI 02915
Phone (401) 437-1008

Other practice location 1

6 John H Chafee Blvd
Newport, RI 02840-1034
Phone (401) 848-2160

Other practice location 2

2 Old County Rd
Barrington, RI 02806-1600
Phone (401) 246-1195

Other names 1

  • East Bay Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
East Bay Community Action Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

65 Valley Rd
Middletown, RI 02842
Phone 40184612131117

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1487916136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-437-1008",
            "fax_number": "401-433-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151504",
            "telephone_number": "401-437-1008",
            "fax_number": "401-433-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 John H Chafee Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028401034",
            "country_code": "US",
            "telephone_number": "401-848-2160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Old County Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028061600",
            "country_code": "US",
            "telephone_number": "401-246-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST BAY COMMUNITY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "FEYISITAN",
        "authorized_official_first_name": "RILWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-437-1008"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "RI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "RI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "East Bay Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.