BROADWAY PSYCHOTHERAPY, INC.
NPI 1811162316
Psychologist - Clinical in Providence, RI

Active since April 25, 2008
347 BROADWAY, PROVIDENCE, RI 02909(401) 270-9808(401) 354-7455 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Broadway Psychotherapy, Inc. NPPES

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

BROADWAY PSYCHOTHERAPY, INC. (NPI 1811162316), doing business as Health Behavior Consultants, Inc., is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since April 2008. The organization lists Jeffrey P. Migneault, President, as its authorized official.

NPPES Registry Identity

NPI1811162316
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBROADWAY PSYCHOTHERAPY, INC.
Location Address347 BROADWAYProvidence, RI 02909-1101
Mailing Address347 BroadwayProvidence, RI 02909-1101 · (401) 270-9808 · Fax (401) 354-7455
Fax(401) 354-7455
Organization SubpartNo
Authorized OfficialJeffrey P. MigneaultPresident · (401) 270-9808
Enumeration DateApril 25, 2008
Last NPPES UpdateMay 3, 2017
✔ NPI 1811162316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in RI · PS00585
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License ISW00174 (RI)
347 BROADWAY, Providence, RI 02909

Other Names 1

Former Legal Business NameHealth Behavior Consultants, Inc.

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)

Broadway Psychotherapy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broadway Psychotherapy, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1295883965
347 BROADWAY
Providence, RI 02909
(401) 270-9808
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Broadway Psychotherapy, Inc.'s NPI number?

The NPI number for Broadway Psychotherapy, Inc. is 1811162316. It was assigned to this organization in the NPPES registry on April 25, 2008. The provider was formerly known as Health Behavior Consultants, Inc..

Where is Broadway Psychotherapy, Inc. located?

Broadway Psychotherapy, Inc. is located at 347 Broadway, Providence, RI 02909. The listed phone number is (401) 270-9808.

What is Broadway Psychotherapy, Inc.'s specialty?

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

Is Broadway Psychotherapy, Inc. enrolled in Medicare?

Yes. Broadway Psychotherapy, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Psychotherapy, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Broadway Psychotherapy, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broadway Psychotherapy, Inc. was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.