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CODAC INC
NPI 1992530109
Clinic/Center - Methadone in Providence, RI

Active since September 06, 2024
45 ROYAL LITTLE DR, PROVIDENCE, RI 02904(401) 275-5038(401) 942-3590 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Codac Inc NPPES

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

CODAC INC (NPI 1992530109), doing business as Codac Behavioral Healthcare, is a healthcare organization registered as a methadone in Providence, Rhode Island and active in the NPI registry since September 2024. The organization lists Alisha M Bourdeau, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1992530109
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCODAC INC
Location Address45 ROYAL LITTLE DRProvidence, RI 02904-1882
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038
Phone(401) 275-5038
Fax(401) 942-3590
Organization SubpartNo
Authorized OfficialAlisha M BourdeauChief Financial Officer · (401) 275-5038
Enumeration DateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1992530109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
45 ROYAL LITTLE DR, Providence, RI 02904
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Other Names 1

Doing Business AsCodac Behavioral Healthcare

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 3

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

KATHERINE SAVINON
Counselor (Addiction (Substance Use Disorder))
45 ROYAL LITTLE DR
PROVIDENCE, RI 02904
Providence County (401) 808-6693
LILY PIKE MD
Family Medicine (Addiction Medicine)
45 ROYAL LITTLE DR
PROVIDENCE, RI 02904
Providence County (401) 808-6693
ADRIANNA SOPHIA MELGAR LCDP, CADC
Counselor (Addiction (Substance Use Disorder))
45 ROYAL LITTLE DR
PROVIDENCE, RI 02904
Providence County (401) 445-3366

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 1992530109. It was assigned to this organization in the NPPES registry on September 6, 2024. The provider is doing business as CODAC Behavioral Healthcare.

Where is Codac Inc located?

Codac Inc is located at 45 Royal Little Dr, Providence, RI 02904. 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 Methadone, with taxonomy code 261QM2800X.

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 September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.