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

CODAC BEHAVIORAL HEALTHCARE
NPI 1851513394
Clinic/Center - Rehabilitation, Substance Use Disorder in Cranston, RI

Active since May 03, 2007
1052 PARK AVE, CRANSTON, RI 02910(401) 275-5038(401) 942-3590 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2021, Apr 25, 2019, Oct 26, 2017 and 1 more (4 updates tracked since 2017).

About Codac Behavioral Healthcare NPPES

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

CODAC BEHAVIORAL HEALTHCARE (NPI 1851513394) is a healthcare organization registered as a rehabilitation, substance use disorder in Cranston, Rhode Island and active in the NPI registry since May 2007. The organization lists Alisha M Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1851513394
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCODAC INC
Location Address1052 PARK AVECranston, RI 02910-3225
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038 · Fax (401) 942-3590
Phone(401) 275-5038
Fax(401) 942-3590
Organization SubpartNo
Authorized OfficialAlisha M BourdeauCfo · (401) 275-5038
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 13, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1851513394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in RI · 605.0
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 605.00 (RI)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 605.00 (RI)
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 605 (RI)
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License 605.00 (RI)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License ACF01632 (RI)
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License 605 (RI)
1052 PARK AVE, Cranston, RI 02910
Open in Google Maps ↗

Other Names 2

Doing Business AsCodac Behavioral Healthcare
Other NameCodac Corporate

Other Identifiers 1

MedicaidCI01382RI

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.

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 Inc's NPI number?

The NPI number for Codac Inc is 1851513394. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Codac Behavioral Healthcare. The provider is also known as Codac Corporate.

Where is Codac Inc located?

Codac Inc is located at 1052 Park Ave, Cranston, RI 02910. The listed phone number is (401) 275-5038.

What is Codac Inc's specialty?

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

What insurance does Codac Inc accept?

Health plans from Harvard Pilgrim Health Care list Codac Inc 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 Codac Inc was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.