EMMA PENDLETON BRADLEY HOSPITAL
NPI 1073705943
Psychiatry & Neurology - Psychiatry in Riverside, RI

Q: What is Emma Pendleton Bradley Hospital's NPI number?

The NPI number for Emma Pendleton Bradley Hospital is 1073705943. It was assigned to this organization in the NPPES registry on August 15, 2007.

Q: What is Emma Pendleton Bradley Hospital's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 15, 2007

1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 444-6966 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Dec 21, 2021 (2 updates tracked since 2021).

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About Emma Pendleton Bradley Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA PENDLETON BRADLEY HOSPITAL (NPI 1073705943) is a healthcare organization registered as a psychiatry in Riverside, Rhode Island and active in the NPI registry since August 2007. The organization lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1073705943

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameEMMA PENDLETON BRADLEY HOSPITAL

Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915-5061

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-6966

Organization SubpartNo

Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914

Enumeration DateAugust 15, 2007

Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1073705943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915

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Other Identifiers 1

MedicaidEP41762RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Pendleton Bradley Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 98 clinicians reassign Medicare billing to Emma Pendleton Bradley Hospital, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 92 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Psychiatry43

Clinical Psychologist25

Clinical Social Worker12

Nurse Practitioner6

Mental Health Counselor5

Marriage and Family Therapist2

Occupational Therapist in Private Practice2

Certified Clinical Nurse Specialist (CNS)1

2 other specialties2

Nearest to this location (20)

See all 98

Michelle Alves, PCNS

Certified Clinical Nurse Specialist (CNS)

NPI 1598188732