CODAC EAST BAY
NPI 1376769919
Clinic/Center - Methadone in East Providence, RI
NPI Status: Active since April 18, 2007
Contact Information
850 WATERMAN AVE
CODAC EAST BAY
EAST PROVIDENCE, RI
ZIP 02914
Phone: (401) 434-4999
Fax: (401) 434-6116
- Organization
- Clinic/Center
- Methadone
About CODAC EAST BAY
This page provides the complete NPI Profile along with additional information for Codac East Bay, a provider established in East Providence, Rhode Island operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1376769919 assigned on April 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 605.02 (RI). The provider is registered as an organization and their NPI record was last updated 4 years ago. Codac East Bay 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 East Bay. The authorized official of this NPI record is Ms. Alisha M Bourdeau Bs (Cfo)
- NPI
- 1376769919
- Provider Legal Name
- CODAC INC
- Other Organization Name
- CODAC EAST BAY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 850 WATERMAN AVE CODAC EAST BAY EAST PROVIDENCE, RI 02914
- Location Phone
- (401) 434-4999
- Location Fax
- (401) 434-6116
- Mailing Address
- 1052 PARK AVE CRANSTON, RI 02910
- Mailing Phone
- (401) 275-5038
- Mailing Fax
- (401) 434-6116
- 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.
- 605.02
- 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 | ACF01632-03 (RI) |
| 3 | 251K00000X | Agencies | Public Health or Welfare | 605.2 (RI) |
| 4 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | 605.2 (RI) |
| 5 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | ACF01632-03 (RI) |
| 6 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | 605.02 (RI) |
| 7 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | 605.2 (RI) |
| 8 | 276400000X | Hospital Units | Rehabilitation, Substance Use Disorder Unit | 605.2 (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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
This service was performed 336 times for 22 patientsThis service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
This service was performed 492 times for 23 patientsReviews for CODAC EAST BAY
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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 1376769919, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376769919, enumerated as an "organization" on April 18, 2007.
The provider is located at 850 WATERMAN AVE CODAC EAST BAY EAST PROVIDENCE, RI 02914 and the phone number is (401) 434-4999.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
