East Bay Community Action Program
Clinic/Center, Mental Health (Including Community Mental Health Center) in Riverside, RI. Organization (NPI-2).
NPI number1487916136
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1487916136
- Entity type
- Organization (NPI-2)
- Legal business name
- East Bay Community Action Program
- Organization subpart
- No
- Enumeration date
- Jun 8, 2012
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | RI | Yes |
| 175T00000X | Peer Specialist | – | – | |
| 251S00000X | Community/Behavioral Health | – | RI | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | RI |
Other names
- East Bay Behavioral Health (Other Name)
Practice location
610 Wampanoag TrlRiverside, RI 02915-1504
Phone 401-437-1008 · Fax 401-433-3042
Mailing address
100 Bullocks PointRiverside, RI 02915
Phone 401-437-1008 · Fax 401-433-3042
Other practice locations
6 John H Chafee Blvd
Newport, RI 02840-1034
Newport, RI 02840-1034
Phone 401-848-2160
2 Old County Rd
Barrington, RI 02806-1600
Barrington, RI 02806-1600
Phone 401-246-1195
Authorized official
Rilwan Feyisitan
Ceo
4014371008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Riverside, RI
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