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

Individual provider Clinical Psychologist · NPI 1699712489

Clifford Bromberg, PHD is a Clinical Psychologist in East Providence, Rhode Island. Qualified in 1992, 34 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
34
Licensed in
RI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Phone: (401) 432-1347
Fax: (401) 432-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS00539 (RI)

Record details

NPI number1699712489
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 6, 2011
Mailing address1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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