East Bay Community Action Program
Clinic/Center, Mental Health (Including Community Mental Health Center) in Riverside, Rhode Island
1487916136- Practice location
- 610 Wampanoag Trl, Riverside, RI 02915-1504
- Phone
- 401-437-1008
- Fax
- 401-433-3042
- Last updated
- September 15, 2026
East Bay Community Action Program is a healthcare organization based in Riverside, RI. East Bay Community Action Program practices in Riverside, RI. The NPI Number for East Bay Community Action Program is 1487916136. The current practice location address for East Bay Community Action Program is 610 Wampanoag Trl, Riverside, RI 02915-1504 and can be reached out via phone at 401-437-1008 and via fax at 401-433-3042.
Provider Profile Details
- NPI Number
- 1487916136
- Provider Name
- East Bay Community Action Program
- Provider Entity Type
- Organization
- Address
- 610 Wampanoag Trl, Riverside, RI 02915-1504
- Phone Number
- 401-437-1008
- Fax Number
- 401-433-3042
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Rilwan Feyisitan · Ceo · 401-437-1008
- Other Names
- East Bay Behavioral Health (Other Name)
- Provider Enumeration Date
- June 8, 2012
- Last Update Date
- September 15, 2026
- Certification Date
- September 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 610 Wampanoag Trl
Riverside, RI 02915-1504 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-1504
- Phone Number
- 401-437-1008
- Fax Number
- 401-433-3042
Provider Business Mailing Address Details
- Address
- 100 Bullocks Point
Riverside, RI 02915 - City
- Riverside
- State
- RI
- Zip
- 02915
- Phone Number
- 401-437-1008
- Fax Number
- 401-433-3042
License Information
- Taxonomy (1)
- Peer Specialist · 175T00000X
- License State (2)
- RI
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- License State (3)
- RI
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
- License State (4)
- RI
- Taxonomy (4)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of East Bay Community Action Program?
The NPI number of East Bay Community Action Program is 1487916136. It was assigned on June 8, 2012 and is currently active in the NPPES registry.
What is the specialty of East Bay Community Action Program?
East Bay Community Action Program is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does East Bay Community Action Program practice?
The practice location is 610 Wampanoag Trl, Riverside, RI 02915-1504. The office can be reached at 401-437-1008 (phone) or 401-433-3042 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487916136 directly on the NPPES registry website.