Patrick J Main, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN04534 Issued in RI

Practice address

1075 Smith St Ste 2
Providence, RI 02908-2700

Phone

(401) 369-9224

Fax

(401) 369-9275

NPI assigned

Oct 22, 2024

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Behavioral Health Associates IncGroup PAC ID 3274798236, 19 clinicians

Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmain363458@direct.ynhh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Behavioral Health Associates Inc

  • Clinical Psychologist
  • Providence, RI
  • NPI 1023142700
  Medicare reassignment Care Compare group NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  RI

  Medicare reassignment Care Compare group NPD
• Mill Hill Medical Consultants Inc

  • Pain Medicine (Anesthesiology) Physician
  • Greenwich, CT
  • NPI 1144230954
  NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1952122996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST STE 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700",
            "telephone_number": "401-369-9224",
            "fax_number": "401-369-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST STE 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700",
            "telephone_number": "401-369-9224",
            "fax_number": "401-369-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912961",
            "country_code": "US",
            "telephone_number": "401-596-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose C Mahoney, MD
• Katrina L. Mahood, OD
• Mahra B. Rubinstein, DDS & Robert J. Ducoff, DMD, Inc.
• Patricia Maier, M.D.
• Keegan C Main, PMHNP
• Karen E Maine, LCDP
• Martha B Mainiero, MD
• Catherine Ann Mair, PT
• Subhankar Maitra, M.D.
• Isaac Maitre

• Psychiatric/Mental Health Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.