| East Bay Community Action Program | |
|
100 Bullocks Point Ave Riverside RI 02915-5351 | |
| (401) 437-1008 | |
| (401) 433-3042 |
| Full Name | East Bay Community Action Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Bullocks Point Ave, Riverside, Rhode Island |
| Authorized Official Name and Position | Rilwan Feyisitan (CEO) |
| Authorized Official Contact | 4014371000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Community Action Program 100 Bullocks Point Ave Riverside RI 02915-5351 Ph: (401) 437-1008 | East Bay Community Action Program 100 Bullocks Point Ave Riverside RI 02915-5351 Ph: (401) 437-1008 |
| NPI Number | 1609925122 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 1951298595 |
|---|---|
| Medicare Enrollment ID | O20040301000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609925122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | John S Corvese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073613741 PECOS PAC ID: 0648175307 Enrollment ID: I20040203000687 |
| Provider Name | Sarah Fessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972651529 PECOS PAC ID: 0042107336 Enrollment ID: I20040302000398 |
| Provider Name | Diane Minasian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467501882 PECOS PAC ID: 5799672093 Enrollment ID: I20040302000434 |
| Provider Name | Teresita S Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245389576 PECOS PAC ID: 6305829474 Enrollment ID: I20040610000036 |
| Provider Name | Eileen M Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326097247 PECOS PAC ID: 6608846738 Enrollment ID: I20040727001461 |
| Provider Name | Thomas E Guttmacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215085816 PECOS PAC ID: 5991606444 Enrollment ID: I20060207000869 |
| Provider Name | Marshall B Wold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396728200 PECOS PAC ID: 6305840141 Enrollment ID: I20060908000255 |
| Provider Name | Cheryl A Delpadre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912023185 PECOS PAC ID: 7113075953 Enrollment ID: I20090504000658 |
| Provider Name | Jacob T Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689732497 PECOS PAC ID: 6406994870 Enrollment ID: I20091105000472 |
| Provider Name | Gina M Digati |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043455694 PECOS PAC ID: 0345376521 Enrollment ID: I20100326000416 |
| Provider Name | Michelle Palmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013060391 PECOS PAC ID: 8628100831 Enrollment ID: I20100722000673 |
| Provider Name | Rose A Goulet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356326854 PECOS PAC ID: 5597899187 Enrollment ID: I20100818000533 |
| Provider Name | Donald T Bobola |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063628717 PECOS PAC ID: 7012070584 Enrollment ID: I20110218000418 |
| Provider Name | Amy L Lagasse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790926152 PECOS PAC ID: 1658557194 Enrollment ID: I20110517000542 |
| Provider Name | Edward B Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699911750 PECOS PAC ID: 8022270735 Enrollment ID: I20120425000535 |
| Provider Name | Spence Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700918984 PECOS PAC ID: 8921264342 Enrollment ID: I20120730000196 |
| Provider Name | Kirsten L Hull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447488259 PECOS PAC ID: 8022268150 Enrollment ID: I20121025000253 |
| Provider Name | Diane M Fletcher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841355567 PECOS PAC ID: 6305060195 Enrollment ID: I20140618000376 |
| Provider Name | Willa R Campbell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174931216 PECOS PAC ID: 5799009924 Enrollment ID: I20150119000136 |
| Provider Name | Stephanie L Rickerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790183069 PECOS PAC ID: 4183940372 Enrollment ID: I20150305001873 |
| Provider Name | Nicole Coggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356723548 PECOS PAC ID: 5193031938 Enrollment ID: I20150825003628 |
| Provider Name | Haley T Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780051664 PECOS PAC ID: 0143530774 Enrollment ID: I20151110001784 |
| Provider Name | Kimberly S Epler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992087480 PECOS PAC ID: 9638489263 Enrollment ID: I20151110002015 |
| Provider Name | Mary K Schwartz Mumford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306995675 PECOS PAC ID: 9133150352 Enrollment ID: I20151123002394 |
| Provider Name | Maria T Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720066145 PECOS PAC ID: 8022089879 Enrollment ID: I20170926003776 |
| Provider Name | Jillian L Mcleish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275059487 PECOS PAC ID: 7719236298 Enrollment ID: I20180816000281 |
| Provider Name | Brandon K St. Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205321981 PECOS PAC ID: 5395098628 Enrollment ID: I20181102000554 |
| Provider Name | Jasmine M Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538441472 PECOS PAC ID: 6901150663 Enrollment ID: I20181115000547 |
| Provider Name | Tressa E Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508188905 PECOS PAC ID: 0648414904 Enrollment ID: I20181220000678 |
| Provider Name | Hannah Deutschman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508350513 PECOS PAC ID: 9234478066 Enrollment ID: I20190222000310 |
| Provider Name | Ashley M Debont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528594322 PECOS PAC ID: 5890038293 Enrollment ID: I20190529001134 |
| Provider Name | Elisabeth K Modestino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801113014 PECOS PAC ID: 1456587179 Enrollment ID: I20190614000895 |
| Provider Name | Emily S Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578128773 PECOS PAC ID: 4385971761 Enrollment ID: I20190807003250 |
| Provider Name | Usman G Lashari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639716384 PECOS PAC ID: 0244666840 Enrollment ID: I20200129003046 |
| Provider Name | Leanne E Craven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376051144 PECOS PAC ID: 7113353509 Enrollment ID: I20200203002038 |
| Provider Name | Rachel M Dirosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598306383 PECOS PAC ID: 0244660165 Enrollment ID: I20200416003271 |
| Provider Name | Meredith S Morenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649801564 PECOS PAC ID: 2163852831 Enrollment ID: I20200420003110 |
| Provider Name | Leanne Benson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972148047 PECOS PAC ID: 5294147419 Enrollment ID: I20201211002740 |
| Provider Name | Katherine L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871887083 PECOS PAC ID: 5698171759 Enrollment ID: I20210915001526 |
| Provider Name | Ashley Amaral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598136707 PECOS PAC ID: 0749619559 Enrollment ID: I20220209002832 |
| Provider Name | Tara Lacoursiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265940019 PECOS PAC ID: 3870986789 Enrollment ID: I20220216001874 |
| Provider Name | Karen Last |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396493243 PECOS PAC ID: 2769854447 Enrollment ID: I20230206001840 |
| Provider Name | Mark Christopher Zeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396925186 PECOS PAC ID: 1456650902 Enrollment ID: I20230614002765 |
| Provider Name | Bianca Silva Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386328631 PECOS PAC ID: 5092176560 Enrollment ID: I20230731002769 |
| Provider Name | Andrea Rand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568897544 PECOS PAC ID: 8022336130 Enrollment ID: I20230912001099 |
| Provider Name | Jessica Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790472959 PECOS PAC ID: 5193170397 Enrollment ID: I20231009000099 |
| Provider Name | William Peter Colwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093587792 PECOS PAC ID: 2264881903 Enrollment ID: I20231207000412 |
| Provider Name | Christopher Markowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851968648 PECOS PAC ID: 1456702943 Enrollment ID: I20240109003146 |
| Provider Name | Robert L. Marks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730271461 PECOS PAC ID: 3274984570 Enrollment ID: I20240111001626 |
| Provider Name | Beth Donovan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104165901 PECOS PAC ID: 0446602767 Enrollment ID: I20240122004131 |
| Provider Name | Nina Franziska Weiss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699935262 PECOS PAC ID: 7416300553 Enrollment ID: I20240125001442 |
| Provider Name | Jessica Mccauley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508305384 PECOS PAC ID: 0143663211 Enrollment ID: I20240206000292 |
| Provider Name | Felicia A Desmarais Toupin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174537955 PECOS PAC ID: 5092158584 Enrollment ID: I20240212003995 |
Family Doctors Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915 Phone: 401-474-3847 Fax: 401-633-6094 | |
Brown Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4050 Fax: 401-649-4051 | |
Brown Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4010 | |
Brown Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031 |