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Organization

Roger Williams Medical Center

NPI Record: ActiveInternal Medicine — Addiction Medicine
NPI1457395998
Providence, Rhode Island

Provider's NPPES record last updated: March 13, 2013

Overview

Entity Type
Organization
NPI
1457395998
Primary Specialty
Internal Medicine — Addiction Medicine
Practice Location
Providence, Rhode Island
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:45 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

    Taxonomy code 207RA0401X
  • Psychologist

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

    Taxonomy code 103TA0400X
  • Psychiatry & Neurology

    Addiction Psychiatry

    Allopathic & Osteopathic Physicians

    Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

    Taxonomy code 2084P0802X

Provider-Reported License Information

Psychologist (Rhode Island)
HOS00108
Psychiatry & Neurology (Rhode Island)
HOS00108
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

825 Chalkstone Ave

Providence, Rhode Island 02908-4728

Phone: (401) 456-2363

Other Names

  • Roger Williams Addiction MedicineReported June 15, 2006

Record Information

Enumeration Date
June 15, 2006
Provider's NPPES Record Last Updated
March 13, 2013
NPISignal NPPES Dataset
August 2026

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