R.I.S.A.T. LLC NPI 1174521488

NPI Information

NPI: 1174521488
Provider Name: R.I.S.A.T., LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Address: 66 PAVILION AVE
PROVIDENCE, RI
ZIP 02905
Phone: (401) 461-9110

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NPI Details

R.I.S.A.T., LLC is a rehabilitation and substance use disorder clinic center in Providence, RI. R.I.S.A.T., LLC NPI is 1174521488. The provider is registered as an organization entity type.

The provider's business location address is:

66 PAVILION AVE
PROVIDENCE, RI
ZIP 02905-522
Phone: (401) 461-9110
Fax: (401) 461-9194

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) (HCPCS:G2074)
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)

The enumeration date for this NPI number is 7/11/2005 and was last updated on 10/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	608	RHODE ISLAND	No
2	261QM2800X	Clinic/Center	Methadone			No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	608	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84-10032	OTHER	RHODE ISLAND	UNITED HEALTHCARE
2	SP02546	MEDICAID	RHODE ISLAND
3	1017610	OTHER	RHODE ISLAND	BEACON HEALTH STRATEGIES
4	410268	OTHER	RHODE ISLAND	BLUECHIP RITECARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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