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

The Miriam Hospital

Organization Clinical Psychologist · NPI 1275810434

The Miriam Hospital is a Clinical Psychologist in Providence, Rhode Island. Works from 3 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2011
Specialties on file
4
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Practice location Address checks out

180 Corliss St Ste E1
Providence, RI 02904-2602
Phone: (401) 793-7401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 180 Corliss St Ste F, Providence, RI 02904-2602 — (401) 793-4715
  • 180 Corliss St Ste E2, Providence, RI 02904-2602 — (401) 793-2928

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence HOS00122 (RI)
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1275810434
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifespan Corporation
Authorized official Peter Markell — Evp & Cfo · (401) 444-7914
Other names Immunology Center At The Miriam Hospital; Immunology Center At The Miriam Hospital
NPI enumeratedNovember 15, 2011
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Other providers in Providence