NPIMap

Organization Active NPI

Miriam Hospital

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1427269265
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
507 Issued in RI
Legal business name
MIRIAM HOSPITAL
Practice address
1 Hoppin St
Coro BLDG., Behavioral Medicine Clinic
Providence, RI 02903-4141
Phone
(401) 793-8230
Fax
(401) 793-8078
NPI assigned
May 24, 2007
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Eva Greenwood
Title
SVP, Finance
Phone
(401) 444-7914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 507 RI
Clinical Psychologist 103TC0700X 507 RI Primary

Addresses

Primary practice location

1 Hoppin St
Coro BLDG., Behavioral Medicine Clinic
Providence, RI 02903-4141

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 793-8230

National Provider Directory

National Provider Directory
Tax ID family
Robert B Patterson M D13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Hoppin St
Bldg Behavioral
Providence, RI 02903
Phone (401) 793-8230

1 Hoppin St
Ste 500
Providence, RI 02903

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1427269265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-793-8230",
            "fax_number": "401-793-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOPPIN ST",
            "address_2": "CORO BLDG., BEHAVIORAL MEDICINE CLINIC",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034141",
            "telephone_number": "401-793-8230",
            "fax_number": "401-793-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "401-444-7914"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "RI",
            "license": "507",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "507",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.