OrganizationActive
Codac Behavioral Healthcare
NPI 1780082743 · Community/Behavioral Health Agency · Cranston, RI
Provider details
- NPI number
- 1780082743
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alisha Bourdeau, Director of Finance(401) 275-5039
- License
- CDP00575 (RI)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1052 Park Ave
Cranston, RI 02910-3225
Phone: (401) 275-5039
Fax: (401) 942-3590
Street-level locationGet directions
Mailing address
1052 Park Ave
Cranston, RI 02910-3225
Registry dates
- Enumerated
- 2014-12-08
- Last updated
- 2014-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.