Active NPIIndividual providerSole proprietor

Mirabelle Mattar, MD

Psychiatry & Neurology, Psychiatry in Riverside, Rhode Island

NPI Number1891050795
Practice location
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Fax
401-432-1500
Last updated
March 17, 2018

Mirabelle Mattar is a Psychiatry & Neurology, Psychiatry based in Riverside, RI. Mirabelle Mattar practices in Riverside, RI and has the professional credentials of MD. The NPI Number for Mirabelle Mattar is 1891050795 and holds a License No. MD15792 (RI). The current practice location address for Mirabelle Mattar is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 and can be reached out via phone at 401-432-1000 and via fax at 401-432-1500.

Provider Profile Details

NPI Number
1891050795
Provider Name
Mirabelle Mattar
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Phone Number
401-432-1000
Fax Number
401-432-1500
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 7, 2012
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Zip
02915-5061
Phone Number
401-432-1000
Fax Number
401-432-1500
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
750 E Adams St
Syracuse, NY 13210-2342
City
Syracuse
State
NY
Zip
13210-2342

License Information

License Number
MD15792
License State
RI
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

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 Mirabelle Mattar, MD?

The NPI number of Mirabelle Mattar, MD is 1891050795. It was assigned on July 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Mirabelle Mattar, MD?

Mirabelle Mattar, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in RI under license number MD15792.

Where does Mirabelle Mattar, MD practice?

The practice location is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061. The office can be reached at 401-432-1000 (phone) or 401-432-1500 (fax).

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 1891050795 directly on the NPPES registry website.

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