Active NPI
Vincent Tallada Abad, M.D.
- Addiction Psychiatry Physician
- West Palm Beach, FL
National Provider Identifier
1215022439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- ME59383
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME59383 | Other | FL | STATE MEDICAL LICENSE NUMBER |
Other names 1
- Vincent Tallada Abad
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME59383 | FL | MD | Geriatric 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
- ABA Therapy of Palm Beach LLC
- Abacoa Town Center Chiropractic Inc (Abacoa Physical Medicine)
- Abad Therapy Group Corp. (Applied Behavior Analysis Direct Therapy Group)
- Kashif Abad, M.D.
- Oday Abad
- Sami E. Abboud, MD
- Abc Home Care Facility #2
- Abdel Kader Abdel Kader
- Avia Abdul
- Jeidy Abejean Lloret, FNP-C
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.