Lifespan Physician Group Inc
NPI 1548506793 · Psychiatry Physician · Providence, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifespan Physician Group Inc is a Psychiatry Physician organization in Providence, RI (NPI 1548506793).
Provider details
- NPI number
- 1548506793
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lifespan Corporation
- Organization subpart
- Yes
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
10 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brown Health Medical Group
Additional practice locations (9)
- 1454 S County TrlEast Greenwich, RI 02818-1749Phone: (401) 606-4415
- 1567 S County TrlEast Greenwich, RI 02818-1695Phone: (401) 606-3137
- 19 Friendship StNewport, RI 02840-2272Phone: (401) 845-4340Fax: (401) 845-4349
- 146 W River StProvidence, RI 02904-2609Phone: (401) 444-7442Fax: (401) 444-7109
- 167 Point StProvidence, RI 02903-4771Phone: (401) 793-8808
- 164 Summit AveProvidence, RI 02906-2853Phone: (401) 793-2500
- 200 Corliss StProvidence, RI 02904-2602Phone: (401) 606-8530
- 1 Hoppin StProvidence, RI 02903-4141Phone: (401) 444-8945Fax: (401) 444-8742
- 1011 Veterans Memorial PkwyRiverside, RI 02915-5061Phone: (401) 432-1000
Registry dates
- Enumerated
- 2012-12-17
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Frequently asked questions
- What is Lifespan Physician Group Inc's NPI number?
- Lifespan Physician Group Inc's National Provider Identifier (NPI) is 1548506793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifespan Physician Group Inc?
- Lifespan Physician Group Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Lifespan Physician Group Inc located?
- Lifespan Physician Group Inc's practice location on file with NPPES is 593 Eddy Street, Providence, RI 02903.
- What is Lifespan Physician Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifespan Physician Group Inc is (401) 444-7442.
- Does Lifespan Physician Group Inc accept Medicare?
- Lifespan Physician Group Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifespan Physician Group Inc?
- The authorized official listed on Lifespan Physician Group Inc's NPPES record is Peter Markell, Evp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifespan Physician Group Inc's NPI active?
- Yes — Lifespan Physician Group Inc's NPI (1548506793) is active in the NPPES registry as of the last update on 2026-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.