Organization
RHODE ISLAND HOSPITAL
Active
Other names
Hospital Department, RIH Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6905
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PP11293
—
RI
Enumeration date
06/30/2006
Last updated
12/10/2025
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