Active NPIIndividual provider

Dr. Stephanie Barak, MD

Pathology, Anatomic Pathology in Providence, Rhode Island

NPI Number1104900083
Practice location
101 Dudley St, Providence, RI 02905-2499
Fax
—
Last updated
July 20, 2026

Stephanie Barak is a Pathology, Anatomic Pathology based in Providence, RI. Stephanie Barak practices in Providence, RI and has the professional credentials of MD. The NPI Number for Stephanie Barak is 1104900083 and holds a License No. MD19002 (RI). The current practice location address for Stephanie Barak is 101 Dudley St, Providence, RI 02905-2499 and can be reached out via phone at 401-453-7655.

Provider Profile Details

NPI Number
1104900083
Provider Name
Stephanie Barak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Dudley St, Providence, RI 02905-2499
Phone Number
401-453-7655
Primary Taxonomy
Pathology, Anatomic Pathology · 207ZP0101X
Sole Proprietor
No
Other Names
Stephanie Hart-Gouleau, MD (Former Name)
Provider Enumeration Date
October 25, 2006
Last Update Date
July 20, 2026
Certification Date
July 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Dudley St
Providence, RI 02905-2499
Zip
02905-2499
Phone Number
401-453-7655
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
455 Toll Gate RD
Prc And Credentialing
Warwick, RI 02886-2759
City
Warwick
State
RI
Zip
02886-2759
Phone Number
401-273-0641
Fax Number
401-273-2919

License Information

License Number (1)
MD19002
License State (1)
RI
Taxonomy (1)
Pathology, Anatomic Pathology · 207ZP0101X · Primary
License Number (2)
MD19002
License State (2)
RI
Taxonomy (2)
Pathology, Cytopathology · 207ZC0500X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephanie Barak, MD?

The NPI number of Dr. Stephanie Barak, MD is 1104900083. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephanie Barak, MD?

Dr. Stephanie Barak, MD is registered under the primary taxonomy Pathology, Anatomic Pathology (code 207ZP0101X), licensed in RI under license number MD19002.

Where does Dr. Stephanie Barak, MD practice?

The practice location is 101 Dudley St, Providence, RI 02905-2499. The office can be reached at 401-453-7655 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104900083 directly on the NPPES registry website.

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