Active NPI
Margaret Mary Mannix, PH.D.
- Clinical Child & Adolescent Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS01196
- Practice address
- 593 Eddy St
Potter Basement
Providence, RI 02903-4923 - Phone
- (401) 444-8368
- Fax
- (401) 444-2085
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS01196 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Potter Basement
Providence, RI 02903-4923
Mailing address
593 Eddy St
Apc 978
Providence, RI 02903-4923
Phone (401) 444-4318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS01196 | Other | RI | PROFESSIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Clinical Child & Adolescent | Current | Accepting new patients |
| Rhode Island Hospital | Clinical Child & Adolescent | Current | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 105
Providence, RI 02903
Phone (401) 444-5241
593 Eddy St
#978
Providence, RI 02903
Phone (401) 444-4318
593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
593 Eddy St
Bsmt
Providence, RI 02903
Phone (401) 444-8368
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
Clinical Child & Adolescent
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
Clinical Child & Adolescent
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1124276126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "APC 978",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "POTTER BASEMENT",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-8368",
"fax_number": "401-444-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNIX",
"first_name": "MARGARET",
"middle_name": "MARY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS01196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "PS01196",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.