Lifespan Physician Group, INC.
Psychiatry & Neurology, Psychiatry in Providence, Rhode Island
1548506793- Practice location
- 593 Eddy Street, Providence, RI 02903
- Phone
- 401-444-7442
- Fax
- —
- Last updated
- June 8, 2026
Lifespan Physician Group, INC. is a healthcare organization based in Providence, RI. Lifespan Physician Group, INC. practices in Providence, RI. The NPI Number for Lifespan Physician Group, INC. is 1548506793. The current practice location address for Lifespan Physician Group, INC. is 593 Eddy Street, Providence, RI 02903 and can be reached out via phone at 401-444-7442.
Provider Profile Details
- NPI Number
- 1548506793
- Provider Name
- Lifespan Physician Group, INC.
- Provider Entity Type
- Organization
- Address
- 593 Eddy Street, Providence, RI 02903
- Phone Number
- 401-444-7442
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- Yes
- Parent Organization
- Lifespan Corporation
- Authorized Official
- Mr. Peter K Markell · Evp & Cfo · 401-444-7914
- Other Names
- Brown Health Medical Group (Doing Business As)
- Provider Enumeration Date
- December 17, 2012
- Last Update Date
- June 8, 2026
- Certification Date
- June 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy Street
Providence, RI 02903 - City
- Providence
- State
- Rhode Island
- Zip
- 02903
- Phone Number
- 401-444-7442
Provider Business Mailing Address Details
- Address
- 15 La Salle Sq
Providence, RI 02903-1814 - City
- Providence
- State
- RI
- Zip
- 02903-1814
- Phone Number
- 401-444-6779
- Fax Number
- 401-444-6912
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Clinical Neuropsychologist · 103G00000X
- Taxonomy (3)
- Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry · 2084B0040X
- Taxonomy (4)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (5)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (6)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Taxonomy (8)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Taxonomy (9)
- Psychologist · 103T00000X
- Taxonomy (10)
- Psychiatry & Neurology, Neurology · 2084N0400X
- Taxonomy (11)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Lifespan Physician Group, INC.?
The NPI number of Lifespan Physician Group, INC. is 1548506793. It was assigned on December 17, 2012 and is currently active in the NPPES registry.
What is the specialty of Lifespan Physician Group, INC.?
Lifespan Physician Group, INC. is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).
Where does Lifespan Physician Group, INC. practice?
The practice location is 593 Eddy Street, Providence, RI 02903. The office can be reached at 401-444-7442 (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 1548506793 directly on the NPPES registry website.