Nicholas Alexander Bottella, LCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00777 Issued in RI

Practice address

2756 Post Rd.
Warwick, RI 02886

Phone

(401) 691-6000

Fax

(401) 691-3398

NPI assigned

Mar 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1386671535
  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1801354568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 POST RD.",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-691-6000",
            "fax_number": "401-691-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 POST RD.",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-691-6000",
            "fax_number": "401-691-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTELLA",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Borsay, DPT
• Janelle Bosse, PA-C
• Hailey Bossio, MD
• Lois R Botelho, RN
• Richard Botelho
• Melissa Bouchard, RN
• Victoria Barrett Bouchard, ATC
• Arianna Boucher, BIRTH DOULA
• Jason Bashir Boudjouk, M.D.
• Anissa Boudreau, DC

• Addiction (Substance Use Disorder) Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.