Michael D Brodeur (NPI# 1225375165, PAC ID# 3870852239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1225375165 |
| PAC ID by PECOS | 3870852239 |
| Professional Enrollment ID | I20180111000681 |
| Full Name | Michael D Brodeur |
| Organization Legal Name | PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC |
| Address |
1075 Smith St Suite 2 Providence RI 02908-2700 |
| Phone Number | 4013699224 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3274798236 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1075 Smith St, Suite 2, Providence, RI 02908-2700 | 4013699224 | PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC |
| Organization Legal Name | PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Mccarthy | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1086 Smith St, Providence, RI 02908-2738 |
| John Charette | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Tara Mabel Brannon Bogs | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Leah Elizabeth Shavalier | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Catherine Hoefliger-gallo | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Randi J Braunstein | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Terri Lupoli | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| John F Todaro | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Michael Geoghegan | Nurse Practitioner | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Erin M Rabideau | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Street Address |
1075 SMITH ST SUITE 2 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02908-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Charette | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Tara Mabel Brannon Bogs | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Leah Elizabeth Shavalier | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Catherine Hoefliger-gallo | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Randi J Braunstein | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Terri Lupoli | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| John F Todaro | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Michael Geoghegan | Nurse Practitioner | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Erin M Rabideau | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Brian Albano | Podiatry | 1075 Smith St, Providence, RI 02908-2700 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward T Gallucci | Chiropractic | 1337 Smith St, North Providence, RI 02908-1823 | |
| Sean Manchester | Clinical Social Worker | 19 Trinity Pkwy, Providence, RI 02908-1932 | |
| Nicholas Bruno | Physical Therapy | 667 Academy Ave, Providence, RI 02908-2105 | |
| Courtney Mccarthy | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1086 Smith St, Providence, RI 02908-2738 |
| Marcia R Smith | Clinical Psychologist | Providence Behavioral Health Associates Inc | 1086 Smith St, Providence, RI 02908-2738 |
| Julie F Grand-landau | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1086 Smith St, Providence, RI 02908-2738 |
| Rebecca M Brown | Geriatric Medicine | Prospect Chartercare Rwmc, LLC | 700 Smith St, North Providence, RI 02908-3500 |
| John A Stoukides | Geriatric Medicine | Prospect Chartercare Rwmc, LLC | 700 Smith St, North Providence, RI 02908-3500 |
| Jenny R David | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
| Aftab Iqbal | Internal Medicine | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
| Find all physicians in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PROVIDENCE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Michael D Brodeur.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.