Individual Healthcare Provider
Michael C Coburn, MD
Provider's NPPES record last updated: October 4, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1720040728
- Primary Specialty
- Psychiatry & Neurology — Addiction Medicine
- Practice Location
- North Kingstown, Rhode Island
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 9:13 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Addiction Medicine
Allopathic & Osteopathic Physicians
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Taxonomy code 2084A0401X Clinic/Center
Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QR0405X
Provider-Reported License Information
- Psychiatry & Neurology (Rhode Island)
- MD08308
- Clinic/Center (Rhode Island)
- MD08308
Practice Locations
Practice Location
1950 Tower Hill Rd
North Kingstown, Rhode Island 02852-6639
Phone: (401) 559-3954
Additional Practice Location
875 Centerville Rd
Suite 15
Warwick, Rhode Island 02886-4381
Phone: (401) 615-8500
Fax: (401) 615-8503
Record Information
- Enumeration Date
- April 5, 2006
- Provider's NPPES Record Last Updated
- October 4, 2025
- Certification Date
- October 4, 2025
- NPISignal NPPES Dataset
- August 2026
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