Active NPI
Ralph E Talbot
- Psychiatry Physician
- Everett, MA
National Provider Identifier
1336160183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 44105
- Practice address
- 391 Broadway
Suite 304
Everett, MA 02149-3470 - Phone
- (617) 381-0555
- Fax
- (949) 955-7321
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 44105 | MA | Primary |
Addresses
Primary practice location
391 Broadway
Suite 304
Everett, MA 02149-3470
Mailing address
391 Broadway
Suite 304
Everett, MA 02149-3470
Phone (617) 381-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3060624 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1336160183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 BROADWAY",
"address_2": "SUITE 304",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493470",
"telephone_number": "617-381-0555",
"fax_number": "949-955-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 BROADWAY",
"address_2": "SUITE 304",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493470",
"telephone_number": "617-381-0555",
"fax_number": "949-955-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOT",
"first_name": "RALPH",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "44105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3060624",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.