Broadway Psychotherapy, Inc.
NPI 1811162316ActiveOrganization· Psychologist, Clinical· Providence, RI
Psychologist, Clinical in Providence, Rhode Island, registered in NPPES in April 2008. The authorized official on file is Jeffrey P. Migneault, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811162316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2008 |
| Last updated in NPPES | May 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS00585 | RI |
| Social Worker, Clinical | 1041C0700X | ISW00174 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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