Individual provider Active NPI

Vincent Tallada Abad, M.D.

  • Addiction Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1215022439
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
ME59383 Issued in FL
Practice address
1650 Osceola Dr
West Palm Beach, FL 33409
Phone
(561) 803-8880
Fax
(877) 409-1795
NPI assigned
Oct 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X ME59383 FL
Psychiatry Physician 2084P0800X ME59383 FL
Addiction Psychiatry Physician 2084P0802X ME59383 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME59383 FL
Geriatric Psychiatry Physician 2084P0805X ME59383 FL
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME59383 FL

Addresses

Primary practice location

1650 Osceola Dr
West Palm Beach, FL 33409

Mailing address

1515 N Federal Hwy Ste 300
Boca Raton, FL 33432-1994
Phone (561) 864-1076

Other practice location 1

8645 W Boynton Beach Blvd
Boynton Beach, FL 33472-4415
Phone (561) 737-6336

Other practice location 2

1515 N Federal Hwy Ste 300
Boca Raton, FL 33432-1994
Phone (561) 864-1076

Other identifiers 1

IdentifierTypeStateIssuer
ME59383OtherFLSTATE MEDICAL LICENSE NUMBER

Other names 1

  • Vincent Tallada Abad Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME59383FLMDGeriatric Psychiatry Physician

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215022439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FEDERAL HWY STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321994",
            "telephone_number": "561-864-1076",
            "fax_number": "561-864-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8645 W Boynton Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334724415",
            "country_code": "US",
            "telephone_number": "561-737-6336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Federal Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321994",
            "country_code": "US",
            "telephone_number": "561-864-1076",
            "fax_number": "561-864-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABAD",
        "first_name": "VINCENT",
        "middle_name": "TALLADA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME59383",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME59383",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME59383",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME59383",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME59383",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME59383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "ME59383",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "ABAD",
            "middle_name": "TALLADA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.