NPIMap

Organization Active NPI

Center for Treatment and Recovery

  • Methadone Clinic
  • Pawtucket, RI
National Provider Identifier
1699795104
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CENTER FOR TREATMENT AND RECOVERY
Practice address
82 Pond Street
Pawtucket, RI 02860
Phone
(401) 727-1287
Fax
(401) 727-1289
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Ms. Wendy M. Looker, RN/BSNPI 1740438605
Title
Ceo/Owner
Phone
(401) 434-2146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 506 RI
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

82 Pond Street
Pawtucket, RI 02860

Mailing address

82 Pond Street
Pawtucket, RI 02860
Phone (401) 727-1287

Other identifiers 5

IdentifierTypeStateIssuer
CT51004MedicaidRI
84-80173OtherRIUNITED BEHAVIORAL HEALTH
1035470OtherRINEIGHBORHOOD HEALTH OF RI
1035470OtherRINEIGHBORHOOD HEALTH OF MA
412500OtherRIBLUE CHIP/RITECARE

National Provider Directory

National Provider Directory

Locations

203 Concord St
Ste 463
Pawtucket, RI 02860
Phone (401) 400-8288

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1699795104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 POND STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-727-1287",
            "fax_number": "401-727-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 POND STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-727-1287",
            "fax_number": "401-727-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TREATMENT AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "LOOKER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "401-434-2146",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN/BS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "RI",
            "license": "506",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CT51004",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "84-80173",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH OF RI",
            "identifier": "1035470",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH OF MA",
            "identifier": "1035470",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP/RITECARE",
            "identifier": "412500",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.