East Bay Community Action Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

ACF01574 Issued in RI

Legal business name

EAST BAY COMMUNITY ACTION PROGRAM

Practice address

100 Bullocks Point
Riverside, RI 02915

Phone

(401) 437-1008

NPI assigned

Apr 4, 2016

Last updated

May 11, 2023By 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

Mr. Rilwan Feyisitan

Title

Ceo

Phone

(401) 437-1000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI7 enrollments

Enrollment records 7

NPI to CCN mapping 6

The Medicare certification numbers (CCNs) connected to NPI 1609239920. Details of each certification follow.

• CCN 411813 Federally qualified health center · Active · Details
• CCN 411803 Federally qualified health center · Active · Details
• CCN 411846 Federally qualified health center · Active · Details
• CCN 411850 Federally qualified health center · Active · Details
• CCN 411849 Federally qualified health center · Active · Details
• CCN 411006 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 411813

Legal name

EAST BAY COMMUNITY ACTION PROGRAM

Doing business as

NEW VISIONS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 22, 2001

Last certification

Jan 22, 2001

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 12, 1965 in RI

Enrollment address

19 Broadway
Newport, RI 28402937

Federally qualified health center certification: CCN 411803

Legal name

EAST BAY COMMUNITY ACTION PROGRAM

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 1, 1993

Last certification

Jan 1, 1993

Ownership / control type

For profit – corporation

Most recent change of ownership

Nov 1, 2003 (1 total)

Organization structure

CorporationNon-profit

Incorporated

Apr 12, 1965 in RI

Enrollment address

100 Bullocks Point
Riverside, RI 29155351

Federally qualified health center certification: CCN 411846

Legal name

EAST BAY COMMUNITY ACTION PROGRAM

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 2, 2014

Last certification

Sep 2, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 12, 1965 in RI

Enrollment address

6 John H Chafee Blvd
Newport, RI 28401034

Federally qualified health center certification: CCN 411850

Legal name

EAST BAY COMMUNITY ACTION PROGRAM

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 5, 2016

Last certification

Jan 5, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 18, 1966 in RI

Enrollment address

610 Wampanoag TRL
Riverside, RI 29151504

Federally qualified health center certification: CCN 411849

Legal name

EAST BAY COMMUNITY ACTION PROGRAM

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 5, 2016

Last certification

Jan 5, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 18, 1966 in RI

Enrollment address

2 Old County Rd
Barrington, RI 28061600

Federally qualified health center certification: CCN 411006

Legal name

EAST BAY COMMUNITY ACTION PROGRAM

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 29, 2025

Last certification

Sep 29, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

610 Waterman Ave
East Providence, RI 29142427

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• East Bay Community Action Program

  • Community Health Clinic/Center
  • Riverside, RI
  • NPI 1609925122

  1951298595

  Same PAC ID
• East Bay Community Action Program

  • Dental Clinic/Center
  • Newport, RI
  • NPI 1861439705

  1951298595

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• East Bay Community Action Program

  • Community Health Clinic/Center
  • Riverside, RI
  • NPI 1609925122

  O20040301000102, O20040407001561, O20040623000437, O20140829000799, O20160104000256, O20160104000460, O20251003002821

  Same enrollment
• East Bay Community Action Program

  • Dental Clinic/Center
  • Newport, RI
  • NPI 1861439705

  O20040301000102, O20040407001561, O20040623000437, O20140829000799

  Same enrollment

Locations

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 70

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.

• Jacob T Abraham, MD

  • Child & Adolescent Psychiatry Physician
  • Wakefield, RI
  • NPI 1689732497
  NPD
• Ashley Amaral

  • Clinical Social Worker
  • Middletown, RI
  • NPI 1598136707
  NPD
• Bianca Silva Barros, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lincoln, RI
  • NPI 1386328631
  NPD
• Leanne Benson, CNM, WHNP

  • Advanced Practice Midwife
  • Woonsocket, RI
  • NPI 1972148047
  NPD
• Kathleen Ann Chase, LICSW

  • Clinical Social Worker
  • Pawtucket, RI
  • NPI 1437110921
  NPD
• Nicole Coggins, PMHNP

  • Family Nurse Practitioner
  • Providence, RI
  • NPI 1356723548
  NPD
• William Peter Colwell, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1093587792
  NPD
• John S Corvese, O.D.

  • Optometrist
  • Cranston, RI
  • NPI 1073613741
  NPD
• Leanne Craven Piccerelli, LICSW, LCDP

  • Clinical Social Worker
  • Barrington, RI
  • NPI 1376051144
  NPD
• Eileen Curran, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1326097247
  NPD
• Ashley Marie Debont, LICSW

  • Clinical Social Worker
  • Barrington, RI
  • NPI 1528594322
  NPD
• Cheryl Del Padre, LICSW

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1912023185
  NPD

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1609239920",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-437-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY COMMUNITY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "FEYISITAN",
        "authorized_official_first_name": "RILWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-437-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "RI",
            "license": "ACF01574",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "ACF01574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Duffy, MD
• Susanne Frances Duffy, MSW
• Mark Dunlop, MD
• East Bay Al Operator, LLC (Anchor Bay at East Providence)
• East Bay Community Action Program
• East Bay Community Action Program
• East Bay Community Action Program
• Sarah Elizabeth Eaton, NP
• Yasmin Echeverri, RN
• Rebecca Egge, DPT

• Community/Behavioral Health Agency in Riverside, RI
• Providers in Riverside, RI by specialty
• Community/Behavioral Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.