# THE MIRIAM HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225073638
- **Authorized official:** PETER M MARKELL (EVP & CFO)
- **Authorized official phone:** (401) 444-7914

## Contact information

- **Practice address:** 146 W RIVER ST STE 11A, PROVIDENCE, RI 02904-2609
- **Practice address phone:** (401) 793-8770
- **Practice address fax:** (401) 793-8709
- **Mailing address:** 15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
- **Mailing address phone:** (401) 444-6779
- **Mailing address fax:** (401) 444-6912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 02/26/2026