OCEAN STATE BEHAVIORAL HEALTH, LLC
NPI 1508462128
Clinic/Center - Rehabilitation, Substance Use Disorder in Johnston, RI

Active since December 09, 2020
1524 ATWOOD AVE STE 244, JOHNSTON, RI 02919(401) 626-0169 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Dec 9, 2020 (2 updates tracked since 2020).

About Ocean State Behavioral Health, Llc NPPES

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

OCEAN STATE BEHAVIORAL HEALTH, LLC (NPI 1508462128) is a healthcare organization registered as a rehabilitation, substance use disorder in Johnston, Rhode Island and active in the NPI registry since December 2020. The organization lists Christopher Dorval, Provider, as its authorized official.

NPPES Registry Identity

NPI1508462128
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameOCEAN STATE BEHAVIORAL HEALTH, LLC
Location Address1524 ATWOOD AVE STE 244Johnston, RI 02919-3228
Mailing Address1524 Atwood Ave Ste 244Johnston, RI 02919-3228 · (401) 626-0169
Organization SubpartNo
Authorized OfficialChristopher DorvalProvider · (401) 626-0169
Enumeration DateDecember 9, 2020
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1508462128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1524 ATWOOD AVE STE 244, Johnston, RI 02919

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ocean State Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ocean State Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1770849010
1524 ATWOOD AVE STE 244
Johnston, RI 02919
(401) 626-0169
✔ PECOSSame address
Internal Medicine
NPI 1629100920
450 CLINTON ST
Woonsocket, RI 02895
(401) 767-4100
✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2194983

Ocean State Behavioral Health LLC · Johnston, RI
Expired · Oct 5, 2026
CLIA Number41D2194983
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorChristopher Doraval
Laboratory Phone(401) 626-0169
Laboratory LocationOcean State Behavioral Health LLC1524 Atwood Ave Ste 244, Johnston, RI 02919
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ocean State Behavioral Health, LLC's NPI number?

The NPI number for Ocean State Behavioral Health, LLC is 1508462128. It was assigned to this organization in the NPPES registry on December 9, 2020.

Where is Ocean State Behavioral Health, LLC located?

Ocean State Behavioral Health, LLC is located at 1524 Atwood Ave Ste 244, Johnston, RI 02919. The listed phone number is (401) 626-0169.

What is Ocean State Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Ocean State Behavioral Health, LLC enrolled in Medicare?

Yes. Ocean State Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ocean State Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ocean State Behavioral Health, LLC, in Clinical Social Worker and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ocean State Behavioral Health, LLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.