Individual provider Active NPI

Michela Muggeo, PSY.D.

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1295211043
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS02052 Issued in RI
Practice address
146 W River St Ste 11B
Providence, RI 02904-2609
Phone
(401) 444-7442
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS02052 RI Primary

Addresses

Primary practice location

146 W River St Ste 11B
Providence, RI 02904-2609

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731002759 CT Practitioner - Clinical Psychologist 5092063529 Reassigns benefits to 1 organization
I20221108002431 RI Practitioner - Clinical Psychologist 5092063529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

146 W River St
Suite 11B
Providence, RI 02904-2609
Phone (401) 444-7442

690 Eddy St
Providence, RI 02903-4928
Phone (401) 793-9166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Clinical CurrentSince Feb 5, 2024 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Lifespan Physician Group, Inc. Clinical CurrentSince Oct 3, 2022 Accepting new patients
Rhode Island Hospital CurrentSince Jan 1, 2023 Accepting new patients
Connecticut Neuropsychological Associates, LLC Clinical CurrentSince Jul 1, 2018 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Rhode Island Hospital Clinical CurrentSince Jan 1, 2023 Accepting new patients
Eastern Connecticut Rehabili Past Accepting new patients

Locations

40 Connecticut Ave
Norwich, CT 06360
Phone (860) 373-4148

150 Otrobando Ave
Norwich, CT 06360
Phone (860) 889-1948

1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

20 Southwest Ave
Jamestown, RI 02835
Phone (401) 423-2616

146 W River St
Ste 11B
Providence, RI 02904
Phone (401) 444-7442

690 Eddy St
Providence, RI 02903
Phone (401) 274-5844

593 Eddy St
Providence, RI 02903

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1295211043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W RIVER ST STE 11B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042609",
            "telephone_number": "401-444-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGGEO",
        "first_name": "MICHELA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.