1. Home
  2. Directory
  3. Rhode Island
  4. Rumford
  5. Clinic Center
  6. NPI Profile

GRADAM MEN'S HEALTH TESTOSTERONE CLINIC LLC
NPI 1083425854
Clinic/Center in Rumford, RI

Active since January 20, 2025
225 NEWMAN AVE, RUMFORD, RI 02916(401) 599-3737(401) 409-5545 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gradam Men's Health Testosterone Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADAM MEN'S HEALTH TESTOSTERONE CLINIC LLC (NPI 1083425854), doing business as Gradam Dispatching Services Llc, is a healthcare organization registered as a clinic/center in Rumford, Rhode Island and active in the NPI registry since January 2025. The organization lists Charlie O Imonah, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083425854
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRADAM MEN'S HEALTH TESTOSTERONE CLINIC LLC
Location Address225 NEWMAN AVERumford, RI 02916-1218
Mailing Address225 Newman AveRumford, RI 02916-1218 · (401) 599-3737 · Fax (401) 409-5545
Phone(401) 599-3737
Fax(401) 409-5545
Organization SubpartNo
Authorized OfficialCharlie O ImonahMedical Director · (401) 599-3737
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1083425854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
225 NEWMAN AVE, Rumford, RI 02916
Open in Google Maps ↗

Other Names 1

Former Legal Business NameGradam Dispatching Services Llc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA MOURATO
Behavior Analyst
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (508) 838-9606
JANET KAGO MUCHIRI LMHC
Counselor (Mental Health)
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (401) 837-2599
COUNSELING SERVICES OF RHODE ISLAND
Counselor (Mental Health)
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (508) 561-0477
SELINA RENEE BERNAL
Behavior Analyst
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (401) 270-7110
MAEGAN A RUSSO BA, RBT
Behavior Technician
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (401) 270-7110
JENELL PERRY BCBA
Behavior Analyst
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (401) 270-7110
KERRY ANN EASTADO
Behavior Technician
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (401) 270-7110
DARCIE MARIE CRAWFORD BCBA
Behavior Analyst
225 NEWMAN AVE
RUMFORD, RI 02916
Providence County (401) 426-3234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gradam Men's Health Testosterone Clinic LLC's NPI number?

The NPI number for Gradam Men's Health Testosterone Clinic LLC is 1083425854. It was assigned to this organization in the NPPES registry on January 20, 2025. The provider was formerly known as Gradam Dispatching Services LLC.

Where is Gradam Men's Health Testosterone Clinic LLC located?

Gradam Men's Health Testosterone Clinic LLC is located at 225 Newman Ave, Rumford, RI 02916. The listed phone number is (401) 599-3737.

What is Gradam Men's Health Testosterone Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gradam Men's Health Testosterone Clinic LLC was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.