Ocean State Behavioral Health, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

OCEAN STATE BEHAVIORAL HEALTH, LLC

Practice address

1524 Atwood Ave Ste 244
Johnston, RI 02919-3228

Phone

(401) 626-0169

NPI assigned

Dec 9, 2020

Last updated

Sep 1, 2026By 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

Christopher Dorval, LICSW

Title

Provider

Phone

(401) 626-0169

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Christopher Matthew Donovan-Dorval, LICSW

  • Clinical Social Worker
  • Johnston, RI
  • NPI 1770849010
  Medicare reassignment NPD
• Edgar A Pollak, MD

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1629100920
  Medicare reassignment NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1508462128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 244",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-626-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 244",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-626-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "401-626-0169",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwestern Ri Imaging Center, LLC
• Maritza Nunez, LMHC
• Amanda Nye
• Stephanie Lynn Nyzio
• Maria M O'Toole, MD
• Ocean State Counseling and Wellness Center
• Ocean State Medical, LLC
• Ocean State Medical, LLC
• Ocean State Optical
• Ocean State Rehab Equipment Inc (Majors Medical Supply)

• Substance Use Disorder Rehabilitation Clinic/Center in Johnston, RI
• Providers in Johnston, 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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.