OrganizationActive
Broadway Psychotherapy, Inc.
NPI 1811162316 · Clinical Psychologist · Providence, RI
Provider details
- NPI number
- 1811162316
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Migneault, President(401) 270-9808
- License
- ISW00174 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
347 Broadway
Providence, RI 02909-1101
Phone: (401) 270-9808
Fax: (401) 354-7455
Street-level locationGet directions
Mailing address
347 Broadway
Providence, RI 02909-1101
Other names (DBA / former)
- Former legal business name
- Health Behavior Consultants, Inc.
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.