OPENDOORS (NPI# 1700403045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700403045 |
| Entity Type | Organization |
| Organization Name | OPENDOORS |
| Practice Address |
485 Plainfield St Providence RI 02909-4459 |
| Practice Telephone | 4017815808 |
| Mailing Telephone | 4017815808 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | NICHOLAS HORTON (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4012141821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | OpenDoors, LLC | 1957 Broadway, Grand Junction, CO 81507 |
| New York State Corporations | OPENDOORS360 LLC | 6133 Bessemer Ave, Baltimore, Md 21224 |
| Street Address |
485 PLAINFIELD ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-4459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385831 | Koren Carbuccia | Peer Specialist | 485 Plainfield St, Providence, RI 02909-4459 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891157509 | Amos House | Peer Specialist | 460 Pine St, Providence, RI 02907-1358 | 2016-03-22 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1699385831 | Koren Carbuccia | Peer Specialist | 485 Plainfield St, Providence, RI 02909-4459 | 2020-08-03 |
| 1437712320 | Mary-jean Elizabeth Allard | Peer Specialist | 344 Washington Street, Providence, RI 02903 | 2019-04-17 |
| 1720547680 | Crystal A Crossen | Peer Specialist | 344 Washington Street, Providence, RI 02903 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073076121 | Parent Support Network of Rhode Island | Peer Specialist | 535 Centerville Rd Ste 202, Warwick, RI 02886-4376 | 2019-04-07 |
| 1518439439 | Michael Galipeau Consulting | Peer Specialist | 1005 Main St Unit 1104, Pawtucket, RI 02860-7804 | 2018-12-18 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| 1043240799 | The Providence Center | Peer Specialist | 890 Centerville Rd, Warwick, RI 02886-4397 | 2006-07-05 |
| 1629632609 | Codac Inc | Peer Specialist | 600 Pawtucket Ave, Pawtucket, RI 02860-6059 | 2019-04-25 |
| 1073071320 | Kimberly Marie Mosier | Peer Specialist | 2756 Post Road, Warwick, RI 02886 | 2019-03-06 |
| 1619435963 | Jessica Downing | Peer Specialist | 2756 Post Road, Warwick, RI 02886 | 2019-03-06 |
| 1467988683 | Codac Inc | Peer Specialist | 1052 Park Ave, Cranston, RI 02910-3225 | 2017-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
Please comment or provide details below to improve the information on OPENDOORS.
| 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.