Victa LLC in Providence, RI
This location of Victa bills under NPI 1104317007, an organization record issued on May 25, 2018 with the primary taxonomy Addiction Medicine (Internal Medicine) Physician. It is one of 2 NPIs registered under this name and one of 2 in Providence; each clinician who sees you there has their own NPI and license.
- Legal name
- Victa LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Addiction Medicine (Internal Medicine) Physician 207RA0401X
- Practice location
- 110 ELMWOOD AVE # A, Providence, RI 02907
- Phone
- 401-868-0654
- Enumerated
- May 25, 2018
- Record updated
- Jun 8, 2026
- Authorized official
- Ceo (title as filed)
The other Providence NPI
- Victa LLC110 ELMWOOD AVE · issued Dec 16, 20181457822413
6 clinicians CMS lists with Victa in Providence
- Yahenys Benoit, APRNPsychiatric/Mental Health Nurse Practitioner1669219432
- Cheryl Brodsky, MDObstetrics & Gynecology Physician1376523829
- Matthew Perry, MDFamily Medicine Physician1962965905
- Lisa Peterson, LMHC LCDP LCDCS MACMental Health Counselor1962514869
- Lisa Rodrigues, FNP-BCFamily Nurse Practitioner1639454572
- Jeremy Thayer, LICSWSocial Worker1518094846
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Rhode Island secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 101Y00000X Counselor
- 101YA0400X Addiction (Substance Use Disorder) Counselor
- 101YM0800X Mental Health Counselor
- 103TA0400X Addiction (Substance Use Disorder) Psychologist
- 103TC1900X Counseling Psychologist
- 106H00000X Marriage & Family Therapist
- 163WA0400X Addiction (Substance Use Disorder) Registered Nurse
- 163WP2201X Ambulatory Care Registered Nurse
- 172V00000X Community Health Worker
- 175T00000X Peer Specialist
- 207RA0401X Addiction Medicine (Internal Medicine) Physician
- 207RI0200X Infectious Disease Physician
- 261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center)
- 261QR0405X Substance Use Disorder Rehabilitation Clinic/Center
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Which Providence NPI should I use?
Ask the office which NPI it bills under; all 2 Providence NPIs are registered under the same name.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.