EAST BAY COMMUNITY ACTION PROGRAM (NPI# 1487916136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487916136 |
| Entity Type | Organization |
| Organization Name | EAST BAY COMMUNITY ACTION PROGRAM |
| Other Organization Name | EAST BAY BEHAVIORAL HEALTH |
| Practice Address |
100 Bullocks Point Riverside RI 02915 |
| Practice Telephone | 4014371008 |
| Practice Fax Number | 4014333042 |
| Mailing Telephone | 4014371008 |
| Mailing Fax Number | 4014333042 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | DENNIS ROY (CEO) |
| Authorized Official Telephone | 4014371008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | RI | Agencies | |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
RI | Ambulatory Health Care Facilities | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | EA1247 | 05 |
| Other Name | Type Code |
|---|---|
| East Bay Behavioral Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861439705 | East Bay Community Action Program | Clinic/Center | 19 Broadway, Newport, RI 02840-2937 | 2006-05-31 |
| 1609239920 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point, Riverside, RI 02915 | 2016-04-04 |
| 1609925122 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point Ave, Riverside, RI 02915-5351 | 2007-01-10 |
| Street Address |
100 BULLOCKS POINT |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609239920 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point, Riverside, RI 02915 | 2016-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| 1083930002 | Nancy R Guertin | Social Worker | 610wampanoagtrail, Eastprovidence, RI 02915 | 2010-04-15 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346753290 | Tessie Cleveland Community Services Corporation | Clinic/Center | 3576 Arlington Ave Ste 100&104, Riverside, CA 92506-3943 | 2017-11-14 |
| 1871012203 | Healing Hearts Marriage and Family Therapy, Inc. | Clinic/Center | 3610 Central Ave Ste 400, Riverside, CA 92506-5907 | 2017-09-18 |
| 1164843074 | Telecare Corporation | Clinic/Center | 2020 Iowa Avenue, Suite 101, Riverside, CA 92507-7428 | 2013-12-18 |
| 1285824813 | Central Medical & Behavioral Center | Clinic/Center | 4230 Central Avenue, Riverside, CA 92504-2919 | 2007-07-30 |
| 1902422124 | All Minds Clear Family Therapy, Inc. | Clinic/Center | 7121 Magnolia Ave Ste J, Riverside, CA 92504-3805 | 2020-06-23 |
| 1588294557 | Finding Love for Today Christian Counseling Services | Clinic/Center | 3400 Central Ave Ste 310, Riverside, CA 92506-2181 | 2020-01-18 |
| 1427566975 | Tara Andrea Coronel | Clinic/Center | 3125 Myers St, Riverside, CA 92503-5527 | 2018-01-18 |
| 1609239920 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point, Riverside, RI 02915 | 2016-04-04 |
| 1861875924 | Ucr Health - Riverside County Mental Health Dept. | Clinic/Center | 4095 County Circle Dr, Riverside, CA 92503-3410 | 2015-07-07 |
| 1568852473 | Ucr Health Psychiatry - Brockton | Clinic/Center | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 | 2015-01-29 |
| Find all providers in RIVERSIDE | ||||
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| 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.