ROOSEVELT DALE
NPI 1962375477
Counselor - Addiction (Substance Use Disorder) in Johnston, RI

Q: What is Roosevelt Dale's NPI number?

The NPI number for Roosevelt Dale is 1962375477. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Q: What is Roosevelt Dale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Roosevelt Dale was last updated on December 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 29, 2025

806 GREENVILLE AVE, JOHNSTON, RI 02919(401) 516-1314 Get Directions Write a Review

NPPES record last updated: December 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roosevelt Dale NPPES

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

ROOSEVELT DALE (NPI 1962375477) is an individual addiction (substance use disorder) provider in Johnston, Rhode Island, licensed in Rhode Island (CDP01081) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1962375477

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameROOSEVELT DALE

Location Address806 GREENVILLE AVEJohnston, RI 02919-1305

Mailing Address806 Greenville AveJohnston, RI 02919-1305 · (401) 516-1314

Phone(401) 516-1314

Sole ProprietorYes

Enumeration DateSeptember 29, 2025

Last NPPES UpdateDecember 25, 2025

NPPES CertifiedDecember 25, 2025

✔ NPI 1962375477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in RI · CDP01081

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 201835 (RI)

806 GREENVILLE AVE, Johnston, RI 02919

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN WHITE JR. LCDP, CADC

Counselor (Addiction (Substance Use Disorder))

806 GREENVILLE AVE
JOHNSTON, RI 02919

Providence County (508) 216-5221

PEERPOINT RECOVERY RESIDENCES

Case Manager/Care Coordinator

806 GREENVILLE AVE
JOHNSTON, RI 02919

Providence County (401) 516-1314

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 Roosevelt Dale's NPI number?

The NPI number for Roosevelt Dale is 1962375477. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Roosevelt Dale located?

Roosevelt Dale practices at 806 Greenville Ave, Johnston, RI 02919. The listed phone number is (401) 516-1314.

What is Roosevelt Dale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roosevelt Dale was last updated on December 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.