IndividualActive
Brian Ackerman
NPI 1235517913 · Psychiatry Physician · Providence, RI
Provider details
- NPI number
- 1235517913
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD14932 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
154 Waterman St
Suite 16
Providence, RI 02906-3116
Phone: (401) 500-5638
Approximate (ZIP-level) locationGet directions
Mailing address
154 Waterman St
Providence, RI 02906-3116
Registry dates
- Enumerated
- 2015-05-13
- Last updated
- 2015-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.