CODAC NEWPORT
NPI 1043436785
Clinic/Center - Methadone in Newport, RI
NPI Status: Active since April 18, 2007
Contact Information
93 THAMES ST
CODAC NEWPORT
NEWPORT, RI
ZIP 02840
Phone: (401) 846-4150
Fax: (401) 846-9340
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 41D2064052
- CLIA Cert. Type: Other - OPIOID TREATMENT
- CLIA Exp. Date: 08-13-2027
About CODAC NEWPORT
This page provides the complete NPI Profile along with additional information for Codac Newport, a provider established in Newport, Rhode Island operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1043436785 assigned on April 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 605.04 (RI). The provider is registered as an organization and their NPI record was last updated 4 years ago. Codac Newport operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Codac Newport. The authorized official of this NPI record is Ms. Alisha M Bourdeau Bs (Cfo)
- NPI
- 1043436785
- Provider Legal Name
- CODAC INC
- Other Organization Name
- CODAC NEWPORT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 93 THAMES ST CODAC NEWPORT NEWPORT, RI 02840
- Location Phone
- (401) 846-4150
- Location Fax
- (401) 846-9340
- Mailing Address
- 1052 PARK AVE CRANSTON, RI 02910
- Mailing Phone
- (401) 275-5038
- Mailing Fax
- (401) 846-9340
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2007
- Last Update Date
- 12-21-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License No.
- 605.04
- License State
- RI
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 175T00000X | Other Service Providers | Peer Specialist | |
| 2 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | ACF01632-05 (RI) |
| 3 | 251K00000X | Agencies | Public Health or Welfare | 605.4 (RI) |
| 4 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | 605.4 (RI) |
| 5 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | ACF01632-05 (RI) |
| 6 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | 605.04 (RI) |
| 7 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | 605.4 (RI) |
| 8 | 276400000X | Hospital Units | Rehabilitation, Substance Use Disorder Unit | 605.4 (RI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 41D2064052
- Facility Type
- Other - OPIOID TREATMENT
- Certificate Effective Date
- August 14, 2025
- Certificate Expiration Date
- August 13, 2027
- Laboratory Director
- CATHERINE DEGOOD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Codac Newport to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043436785, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
NEWPORT, RI 02840
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043436785, enumerated as an "organization" on April 18, 2007.
The provider is located at 93 THAMES ST CODAC NEWPORT NEWPORT, RI 02840 and the phone number is (401) 846-4150.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
