DR. ROBERT MIRANDA JR.


Address: 2 Regency Plz, Suite 4, Providence, RI 02903-3160
Phone: 4018636658

DR. ROBERT MIRANDA JR. (NPI# 1790997674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790997674
Entity Type Individual
Full Name DR. ROBERT MIRANDA JR.
Credential PH.D.
Practice Address 2 Regency Plz
Suite 4
Providence
RI 02903-3160
Mailing Address Brown University, Cntr for Alcohol & Addiction Studies
Box G-s121-5
Providence
RI 02912
Practice Telephone 4018636658
Practice Fax Number 4018636697
Mailing Telephone 4018636658
Mailing Fax Number 4018636697
Enumeration Date 2007-05-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS00838 RI Behavioral Health & Social Service Providers

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1699844274 Robert Miranda Pharmacist 850 Harrison Ave, Outpatient Pharmacy, Boston, MA 02118-4001 2006-11-07
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Office Location

Street Address 2 REGENCY PLZ
SUITE 4
City PROVIDENCE
State RI
Zip Code 02903-3160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679583868 Margaret Lys Hunt Social Worker 2 Regency Plz, Suite 4, Providence, RI 02903-3160 2006-08-09
1639731466 Konstantinos Kapositas Surgery 2 Regency Plz, Providence, RI 02903-3160 2019-07-02
1336656404 Jennifer Ann Dupont Frechtte Psychologist 2 Regency Plz, Providence, RI 02903-3160 2018-01-10
1730620535 Sophia Burton Social Worker 2 Regency Plz, Providence, RI 02903-3160 2017-03-13
1205376357 Desmond Gyamfi Registered Nurse 2 Regency Plz, Suite 10, Providence, RI 02903-3160 2017-03-07
1326326307 Jessica Fede Psychologist 2 Regency Plz, Suite 12, Providence, RI 02903-3160 2011-07-25
1720311202 Delta Consultants Providence/attle Inc. Social Worker 2 Regency Plz, Suite 12, Providence, RI 02903-3160 2009-09-15
1689706673 Jayna Klatzker Social Worker 2 Regency Plz, Suite 12, Providence, RI 02903-3160 2007-03-12
1942307657 Barry A Plummer Psychologist 2 Regency Plz, Suite 4, Providence, RI 02903-3160 2006-09-17
1871607416 Steven J Bonauto Psychiatry & Neurology 2 Regency Plz, Suite 4, Providence, RI 02903-3160 2006-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982225033 Julia Michelle Kamenetsky Psychologist 1155 Westminster St Ste 206, Providence, RI 02909-1140 2020-04-29
1801430509 Concentric Psychological Services PC Psychologist 205 Waterman St Ste 106, Providence, RI 02906-4313 2019-11-05
1073094181 Frederick Psychological Services, LLC Psychologist 2 Regency Plz Ste 18, Providence, RI 02903-3143 2018-08-27
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1255865218 Carly Michelle Goldstein Psychologist 196 Richmond St, Providence, RI 02903-4212 2017-04-17
1831505163 Von Marie Rodriguez-guzman Psychologist Coro West Building, One Hoppin Street, Room 2.062, Providence, RI 02903 2014-07-08
1407262058 Theresa Morgan Psychologist 593 Eddy St, Potter Bldg 2nd Floor, Dept of Psychiatry, Rhode Island Hospital, Providence, RI 02903 2014-07-03
1871930875 Bernardine Pinto Psychologist 164 Summit Ave. Coro West, Suite 309, Miriam Hospital, Cbpm, Providence, RI 02906 2013-05-30
1619240009 Shirley Yen Psychologist 700 Butler Dr, Providence, RI 02906-4871 2012-02-15
1639440449 Sasha Lambert Psychologist 49 Pavilion Ave Ste 105, Providence, RI 02905-1534 2012-01-25
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Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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