NPIMap

Organization Active NPI

Ri Substance Abuse Treatment Center

Doing business as Discovery House RI MH

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
National Provider Identifier
1790991537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
608 Issued in RI
Legal business name
RI SUBSTANCE ABUSE TREATMENT CENTER
Doing business as
Discovery House RI MH
Practice address
66 Pavilion Ave
Providence, RI 02905-1522
Phone
(401) 780-2300
Fax
(401) 780-2397
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peter Morris
Title
Coo
Phone
(401) 780-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 608 RI Primary

Addresses

Primary practice location

66 Pavilion Ave
Providence, RI 02905-1522

Mailing address

66 Pavilion Ave
Providence, RI 02905-1522
Phone (401) 780-2300

Other identifiers 1

IdentifierTypeStateIssuer
RI5445MedicaidRI

Other names 1

  • Discovery House RI MH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ri Substance Abuse Treatment Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790991537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-780-2300",
            "fax_number": "401-780-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-780-2300",
            "fax_number": "401-780-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RI SUBSTANCE ABUSE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "401-780-2300"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "RI",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RI5445",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery House RI MH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.