CLIFFORD BROMBERG PHD
NPI 1699712489
Psychologist - Clinical in East Providence, RI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915(401) 432-1347(401) 432-1500 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clifford Bromberg Phd NPPES

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

CLIFFORD BROMBERG PHD (NPI 1699712489) is an individual clinical provider in East Providence, Rhode Island, licensed in Rhode Island (PS00539) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1699712489
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCLIFFORD BROMBERGCredential: PHD
Location Address1011 VETERANS MEMORIAL PKWYEast Providence, RI 02915-5061
Mailing Address1011 Veterans Memorial PkwyEast Providence, RI 02915-5061 · (401) 432-1284 · Fax (401) 432-1509
Fax(401) 432-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 6, 2011
NPI 1699712489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in RI · PS00539
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1011 VETERANS MEMORIAL PKWY, East Providence, RI 02915

Other Identifiers 4

Other30146-2RI · Blue Cross
Other205054RI · Blue Chip
Other61-40234RI · United Behavioral Health
MedicaidCB45985RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clifford Bromberg Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284914722
PECOS Enrollment IDI20161129002065
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Bromberg's NPI number?

The NPI number for Clifford Bromberg is 1699712489. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Clifford Bromberg located?

Clifford Bromberg practices at 1011 Veterans Memorial Pkwy, East Providence, RI 02915. The listed phone number is (401) 432-1347.

What is Clifford Bromberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Clifford Bromberg enrolled in Medicare?

Yes. Clifford Bromberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Clifford Bromberg was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.