LIFESPAN PHYSICIAN GROUP INC NPI 1548506793

NPI Information

  • NPI: 1548506793
  • Provider Name: LIFESPAN PHYSICIAN GROUP INC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • :
  • Address: 593 EDDY STREET
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-7442

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NPI Details

LIFESPAN PHYSICIAN GROUP INC is a psychiatry psychiatry neurology in Providence, RI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LIFESPAN PHYSICIAN GROUP INC NPI is 1548506793. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

593 EDDY STREET
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-7442

The provider's authorized official is Peter K Markell .
The authorized official title is Evp & Cfo and has the following contact phone number (401) 444-7914.

The enumeration date for this NPI number is 12/17/2012 and was last updated on 10/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3103G00000XClinical NeuropsychologistNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
5103T00000XPsychologistNo
6103TC2200XPsychologistClinical Child & AdolescentNo
71041C0700XSocial WorkerClinicalNo
82084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
92084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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