NPI Index

LIFESPAN PHYSICIAN GROUP INC

Psychiatry & Neurology - Psychiatry

Active Organization
NPI: 1548506793

Practice Address

593 EDDY STREET
Providence, RI 02903

Phone: (401) 444-7442

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Clinical Neurophysiology 2084N0600X No -
Psychologist 103T00000X No -
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X No -
Psychologist - Clinical Child & Adolescent 103TC2200X No -
Social Worker - Clinical 1041C0700X No -
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry 2084B0040X No -
Psychiatry & Neurology - Psychiatry 2084P0800X Yes -
Psychologist - Clinical 103TC0700X No -
Psychiatry & Neurology - Neurology 2084N0400X No -
Clinical Neuropsychologist 103G00000X No -

Frequently Asked Questions

NPI 1548506793 is the National Provider Identifier for LIFESPAN PHYSICIAN GROUP INC, a Psychiatry & Neurology - Psychiatry provider located in Providence, RI. This NPI was enumerated on December 17, 2012.

Quick Facts

NPI
1548506793
Type
Organization
Enumerated
Dec 17, 2012
Last Updated
Jan 21, 2026

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