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NPI Profile for LIFESPAN PHYSICIAN GROUP INC in PROVIDENCE, RI.
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Behavioral Neurology & Neuropsychiatry |
2084B0040X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Clinical Neurophysiology |
2084N0600X | 86 | Physician/Neuropsychiatry | |
Clinical Neuropsychologist |
103G00000X | |||
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1548506793 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/17/2012 | |
| Last updated | 04/03/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LIFESPAN PHYSICIAN GROUP INC
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| JENNIFER R OUELLETTE, MSN, RNP PVAMC 830 CHALKSTONE AVE PROVIDENCE, RI |
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| RONALD C GOBEIL, DO 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI |
| SUZANNE L MONEZ, LICSW 300 CENTERVILLE RD SUMMIT SOUTH WARWICK, RI |
| MARY ROSE, PMHNP 186 PROVIDENCE STREET WEST WARWICK, RI |
| PATRICIA A GOLDEN, MSW 377 BARK ST SWANSEA, MA |
LIFESPAN PHYSICIAN GROUP INC