Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lifespan Physician Group, Inc

Organization Clinical Neuropsychologist · NPI 1548506793

Lifespan Physician Group, Inc is a Clinical Neuropsychologist in Providence, Rhode Island. Works from 10 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903
Phone: (401) 444-7442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 1454 S County Trl, East Greenwich, RI 02818-1749 — (401) 606-4415
  • 1567 S County Trl, East Greenwich, RI 02818-1695 — (401) 606-3137
  • 19 Friendship St, Newport, RI 02840-2272 — (401) 845-4340
  • 167 Point St, Providence, RI 02903-4771 — (401) 793-8808
  • 1 Hoppin St, Providence, RI 02903-4141 — (401) 444-8945
  • 146 W River St, Providence, RI 02904-2609 — (401) 444-7442
  • 200 Corliss St, Providence, RI 02904-2602 — (401) 606-8530
  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 793-2500
  • 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 — (401) 432-1000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Neuropsychologist Taxonomy 103G00000X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Clinical Social Worker Taxonomy 1041C0700X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Neurology Physician Taxonomy 2084N0400X
Clinical Neurophysiology Physician Taxonomy 2084N0600X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1548506793
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifespan Corporation
Authorized official Peter Markell — Evp & Cfo · (401) 444-7914
Other names Brown Health Medical Group
NPI enumeratedDecember 17, 2012
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address15 La Salle Sq, Providence, RI 02903-1814

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