Codac Inc
Codac Inc is a healthcare organization registered as Methadone Clinic in Providence, RI, holding Type 2 (organization) NPI 1558712034 since 2016. The authorized official on file is Alisha Bourdeau, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558712034 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Codac Inc |
| Other name | <Unavail> |
| Practice address | 528 N MAIN ST, Providence, RI, 02904 |
| Phone | 4018084278 |
| Fax | 4018086957 |
| Enumeration date | 2016-06-27 |
| Last updated in NPPES | 2019-04-25 |
Authorized official
| Name | Alisha Bourdeau |
|---|---|
| Title | Cfo |
| Phone | 4012755038 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare Agency | Secondary | 605.07 | RI |
| 261QH0100X | Health Service Clinic/Center | Secondary | 605.07 | RI |
| 261QP2300X | Primary Care Clinic/Center | Secondary | ACF01632 | RI |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 605.07 | RI |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | Secondary | 605.07 | RI |
| 175T00000X | Peer Specialist | Secondary | — | — |
| 261QM2800X | Methadone Clinic | Primary | 605.07 | RI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI01382 | Medicaid | RI | — |
Copy-ready billing details
Provider: Codac Inc NPI: 1558712034 Taxonomy: 261QM2800X (Methadone Clinic) Address: 528 N MAIN ST, Providence, RI, 02904
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881683985 | Arnold Herman | Individual | Surgery Physician | Providence, RI |
| 1245220268 | Steven Cohen | Individual | Surgery Physician | Providence, RI |
| 1275685893 | Julie Simmons | Individual | Clinical Social Worker | Providence, RI |
| 1467646109 | Gisela Schneider | Individual | Mental Health Counselor | Providence, RI |
| 1356537260 | Sara Brockway | Individual | Clinical Social Worker | Providence, RI |
| 1205086956 | Luanne Calvo | Individual | Social Worker | Providence, RI |
| 1164753992 | Cynthia Barry | Individual | Social Worker | Providence, RI |
| 1841517992 | David Michaud | Individual | Clinical Social Worker | Providence, RI |
Verify this record
Cross-check NPI 1558712034 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
What is a Type 2 NPI?
What type of organization is Codac Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-04-25.