Roosevelt Dale

NPI: 1962375477

About Roosevelt Dale

Roosevelt Dale is a Addiction (Substance Use Disorder) healthcare provider based in Johnston, Rhode Island. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/29/2025. The National Provider Identifier (NPI) number assigned to this provider is 1962375477.

No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.

Practice Information

  • Specialty Addiction (Substance Use Disorder)
  • Other Specialties Community Health Worker
  • Location Johnston, RI
  • Active Since 09/29/2025
  • Last Updated 12/25/2025
  • Taxonomy Code 101YA0400X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1962375477

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Addiction (Substance Use Disorder) Doctors in Johnston