Mahmoud Yacoub

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1626 Locust St
Philadelphia, PA 19103-6305

Phone

(330) 367-7751

NPI assigned

Jan 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1245946359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 FOREST RIDGE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036305",
            "telephone_number": "330-367-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "MAHMOUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-03-31",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Valdez Yablunsky, RN, CRNP, GNP-BC
• Thomas Yabor, MS, ATC
• Yelena Yachmenyova, MD
• Janice Yackoski, M.D.
• Tamara Yacobenas
• Kerri Joanne Yacovelli, MSPT
• Megha S Yadav, MBBS
• Rahul Yadav, M.B.B.S. M.D.
• Richa Yadav, O.D
• Shaina Yadav

• All providers in Philadelphia, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.