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CODAC BEHAVIORAL HEALTHCARE
NPI 1780082743
Community/Behavioral Health in Cranston, RI

Active since December 08, 2014
1052 PARK AVE, CRANSTON, RI 02910(401) 275-5039(401) 942-3590 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Codac Behavioral Healthcare NPPES

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

CODAC BEHAVIORAL HEALTHCARE (NPI 1780082743) is a healthcare organization registered as a community/behavioral health in Cranston, Rhode Island and active in the NPI registry since December 2014. The organization lists Alisha Bourdeau, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1780082743
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCODAC BEHAVIORAL HEALTHCARE
Location Address1052 PARK AVECranston, RI 02910-3225
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5039 · Fax (401) 942-3590
Phone(401) 275-5039
Fax(401) 942-3590
Organization SubpartNo
Authorized OfficialAlisha BourdeauDirector Of Finance · (401) 275-5039
Enumeration DateDecember 8, 2014
✔ NPI 1780082743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in RI · CDP00575
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1052 PARK AVE, Cranston, RI 02910
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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.

LISA L LANGLOIS LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056
JAZMINE DULCINEA FERNANDEZ BA
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 462-6666
JENNIFER LEE ADAMS MA, LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 536-0393
MS. ASHLEY MARIE WALKER CADC LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 942-1450
KENNETH HAGGARD PHD, LCDP
Counselor (Mental Health)
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056
CODAC INC
Clinic/Center (Methadone)
1052 PARK AVE, CODAC CRANSTON
CRANSTON, RI 02910
Providence County (401) 461-5056
MARGARIDA A RENZI MA,RYT,LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056
EDWARD MCGUIRL LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056

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 Codac Behavioral Healthcare's NPI number?

The NPI number for Codac Behavioral Healthcare is 1780082743. It was assigned to this organization in the NPPES registry on December 8, 2014.

Where is Codac Behavioral Healthcare located?

Codac Behavioral Healthcare is located at 1052 Park Ave, Cranston, RI 02910. The listed phone number is (401) 275-5039.

What is Codac Behavioral Healthcare's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Codac Behavioral Healthcare was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.