Active NPI
Michael Davis
- Addiction (Substance Use Disorder) Counselor
- Westerly, RI
National Provider Identifier
1508331851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP00731
- Practice address
- 86 Beach St
Westerly, RI 02891-2718 - Phone
- (401) 596-0969
- NPI assigned
- Oct 12, 2018
- Last updated
- Oct 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00731 | RI | Primary |
Addresses
Primary practice location
86 Beach St
Westerly, RI 02891-2718
Mailing address
18 Beechwood Blvd
Plainfield, CT 06374-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00731 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Journey to Hope, Health & Healing, Inc | Current | Accepting new patients | |
| The Journey Hope, Health & Healing, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
86 Beach St
Westerly, RI 02891
Phone (401) 596-0969
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Johnston, RI
- NPI 1952852691
-
- Methadone Clinic
- Johnston, RI
- NPI 1033259478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1508331851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BEECHWOOD BLVD",
"city": "PLAINFIELD",
"state": "CT",
"postal_code": "063742101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 BEACH ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912718",
"telephone_number": "401-596-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.