Jeffrey P Migneault, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS00585 Issued in RI

Practice address

347 Broadway
Providence, RI 02909-1101

Phone

(401) 270-9808

Fax

(401) 270-9808

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Broadway Psychotherapy, Inc.

  • Clinical Psychologist
  • Providence, RI
  • NPI 1811162316
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1295883965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091101",
            "telephone_number": "401-270-9808",
            "fax_number": "401-270-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091101",
            "telephone_number": "401-270-9808",
            "fax_number": "401-270-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNEAULT",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Migliori, MD
• Stephen J. Migliori, MD
• Daniel Migliozzi, PHARMD
• Christina Mignano
• Joseph Alfred Mignano Jr.
• Heather Miguel
• Rachel Mihalos, PMHNP
• Akari Jillian Miki, MD
• Maria D Mileno, MD
• Haven Miles

• Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.