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EAST BAY BEHAVIORAL HEALTH
NPI 1487916136
Clinic/Center - Mental Health (Including Community Mental Health Center) in Riverside, RI

Active since June 08, 2012
610 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 437-1008(401) 433-3042 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2023, Mar 18, 2020, Nov 10, 2015 (3 updates tracked since 2015).

About East Bay Behavioral Health NPPES

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

EAST BAY BEHAVIORAL HEALTH (NPI 1487916136) is a healthcare organization registered as a mental health (including community mental health center) in Riverside, Rhode Island and active in the NPI registry since June 2012. The organization lists Rilwan Feyisitan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487916136
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEAST BAY COMMUNITY ACTION PROGRAM
Location Address610 WAMPANOAG TRLRiverside, RI 02915-1504
Mailing Address100 Bullocks PointRiverside, RI 02915 · (401) 437-1008 · Fax (401) 433-3042
Phone(401) 437-1008
Fax(401) 433-3042
Organization SubpartNo
Authorized OfficialRilwan FeyisitanCeo · (401) 437-1008
Enumeration DateJune 8, 2012
Last NPPES UpdateMarch 23, 20243 updates tracked since enumeration
NPPES CertifiedMarch 23, 2024
✔ NPI 1487916136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
610 WAMPANOAG TRL, Riverside, RI 02915
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Other Names 1

Other NameEast Bay Behavioral Health

Other Identifiers 1

MedicaidEA1247RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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.

MRS. CATHERINE LYNN BROWN MSW, LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
MS. HOLLY LASKO LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
CHRISTINE L ENOS LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870
MELISSA S PATTIE RN, BSN
Registered Nurse (Psychiatric/Mental Health)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
ROSE A GOULET LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870
KAREN LAST NURSE PRACTITIONER P
Nurse Practitioner (Psychiatric/Mental Health)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
MARSHALL BENJAMIN WOLD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
JAMES PINEL LMHC
Counselor (Mental Health)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870

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 East Bay Community Action Program's NPI number?

The NPI number for East Bay Community Action Program is 1487916136. It was assigned to this organization in the NPPES registry on June 8, 2012. The provider is also known as East Bay Behavioral Health.

Where is East Bay Community Action Program located?

East Bay Community Action Program is located at 610 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 437-1008.

What is East Bay Community Action Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does East Bay Community Action Program accept?

Health plans from Harvard Pilgrim Health Care list East Bay Community Action Program as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Bay Community Action Program was last updated on March 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.