R.I.S.A.T., LLC (NPI# 1174521488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174521488 |
| Entity Type | Organization |
| Organization Name | R.I.S.A.T., LLC |
| Practice Address |
66 Pavilion Ave Providence RI 02905-1522 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 4014619110 |
| Practice Fax Number | 4014619194 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | KIM SANDERSON (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
608 | RI | Ambulatory Health Care Facilities |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
608 | RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BEACON HEALTH STRATEGIES | 1017610 | 01 |
| RI | UNITED HEALTHCARE | 84-10032 | 01 |
| RI | BLUECHIP RITECARE | 410268 | 01 |
| RI | SP02546 | 05 |
| Other Name | Type Code |
|---|---|
| Discovery House RI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319368 | R.i.s.a.t., LLC | Clinic/Center | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1541 | 2005-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | R & B BICOASTAL PROPERTIES, LLC | C/o Five Centerpointe Drive Suite 240, Lake Oswego, OR 97035 |
| New York State Corporations | R & B INFINITY REAL ESTATE, LLC | 6055 Porto St, Chino Hills, California 91709 |
| Oregon Corporations, Companies and Business Names | R & B PROPERTIES TUALATIN, LLC | 20495 Sw Boones Ferry Rd, Tualatin, OR 97062 |
| New York State Corporations | R & B RENAISSANCE REALTY, LLC | 22 Brockton Rd, Spring Valley, Ny 10977 |
| Oklahoma Business Registrations | R & C INVESTMENT REAL ESTATE, LLC | 5000 Robin Hill Lane, Oklahoma City, OK 73150 |
| New York State Corporations | R & D BIOTECH ASSOCIATES, LLC | 560 South Broadway, Hicksville, Ny 11801 |
| New York State Corporations | R & D INDUSTRIAL DRIVE ENTERPRISES, LLC | 270 Park Lane, Grand Island, Ny 14072 |
| New York State Corporations | R & I ASSOCIATES, LLC | 1 World Trade Center, Suite 47a, New York, Ny 10007 |
| Oklahoma Business Registrations | R & J FISHIN FABRICATION & MACHINE SHOP, LLC | Rr 3 Box 2769, Stilwell, OK 74960 |
| System for Award Management (SAM) Entities | R & L DOLLINS CATTLE, LLC | 1812 Ave D Ste 201, Katy, TX 77493-1653 |
| Street Address |
66 PAVILION AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065898 | Stephanie Goncalves | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2020-05-19 |
| 1831736974 | Brandi J Mcdonnell | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-12-09 |
| 1396382347 | Wandali Perez | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-12-09 |
| 1811461403 | Alexander Tobias Jorrin | Physician Assistant | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-01-16 |
| 1083190086 | Natalia Navarro | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2018-07-13 |
| 1023505732 | Theresa Scibilia | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2018-04-18 |
| 1740702745 | Hannah Marie Park | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-07-11 |
| 1336689637 | Robert Matuszek | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1518407816 | Melanie Nelson | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1770033359 | Jamie Savage | Counselor | 66 Pavilion Ave, Providence, RI 02905 | 2016-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971109 | Parables LLC | Clinic/Center | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2019-03-18 |
| 1376938654 | Vita Nova LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2015-04-02 |
| 1861528242 | Family Service of Rhode Island Inc. | Clinic/Center | 55 Hope St, Providence, RI 02906-2001 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639646771 | Adcare Rhode Island | Clinic/Center | 49 S County Commons Way Unit F6, South Kingstown, RI 02879-8200 | 2018-10-26 |
| 1841403136 | Phoenix House | Clinic/Center | 101 Franklin St, Westerly, RI 02891-3198 | 2007-05-07 |
| 1417955733 | Discovery House Utah | Clinic/Center | 88 W Warwick Ave, West Warwick, RI 02893-3871 | 2005-07-11 |
| 1295731321 | Codac Inc | Clinic/Center | 1052 Park Ave, Codac Cranston, Cranston, RI 02910 | 2005-06-23 |
| 1639638331 | Galilee Mission | Clinic/Center | 23 Arnold St, South Kingstown, RI 02879-3701 | 2019-03-13 |
| 1194292235 | Adcare Rhode Island | Clinic/Center | 600 Putnam Pike Ste 7, Greenville, RI 02828-1487 | 2018-10-26 |
| 1902373046 | Adcare Rhode Island | Clinic/Center | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2018-10-26 |
| 1114430907 | Comprehensive Addiction Treatment LLC | Clinic/Center | 1950 Tower Hill Rd, N Kingstown, RI 02852-6639 | 2017-11-15 |
| 1023359122 | P and R Recovery Services LLC | Clinic/Center | 11 King Charles Dr, A2, Portsmouth, RI 02871-1446 | 2013-03-14 |
| 1629102579 | Thrive Behavioral Health | Clinic/Center | 50 Health Ln, Warwick, RI 02886-2711 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on R.I.S.A.T., LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.