Codac Inc
Codac Inc is a healthcare organization registered as Methadone Clinic in Cranston, RI, holding Type 2 (organization) NPI 1295731321 since 2005. The authorized official on file is Alisha Bourdeau, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295731321 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Codac Inc |
| Other name | <Unavail> |
| Practice address | 1052 PARK AVE, CODAC CRANSTON, Cranston, RI, 02910 |
| Phone | 4014615056 |
| Fax | 4019432167 |
| Enumeration date | 2005-06-23 |
| Last updated in NPPES | 2021-12-21 |
Authorized official
| Name | Alisha Bourdeau |
|---|---|
| Title | Cfo |
| Phone | 4012755038 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 605.01 | RI |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | Secondary | 605.1 | RI |
| 261QP2300X | Primary Care Clinic/Center | Secondary | ACF01632-01 | RI |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 605.1 | RI |
| 175T00000X | Peer Specialist | Secondary | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | Secondary | ACF01632-01 | RI |
| 251K00000X | Public Health or Welfare Agency | Secondary | 605.1 | RI |
| 261QM2800X | Methadone Clinic | Primary | 605.01 | RI |
Copy-ready billing details
Provider: Codac Inc NPI: 1295731321 Taxonomy: 261QM2800X (Methadone Clinic) Address: 1052 PARK AVE, CODAC CRANSTON, Cranston, RI, 02910
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538122908 | Jennifer Mcgoldrick | Individual | Physician Assistant | Cranston, RI |
| 1508979220 | Michelle Crandall | Individual | Psychiatric/Mental Health Nurse Practitioner | Cranston, RI |
| 1851513394 | Codac Inc | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Cranston, RI |
Verify this record
Cross-check NPI 1295731321 against the authoritative CMS record: view Codac Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Codac Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-12-21.