Active NPI
Ibrahim B Dagher, M.D.
- Psychiatry Physician
- Wellesley, MA
National Provider Identifier
1376722306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 160124
- Practice address
- 24 Crown Ridge Rd
Wellesley, MA 02482-4635 - Phone
- (781) 400-1020
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 160124 | MA | Primary |
Addresses
Primary practice location
24 Crown Ridge Rd
Wellesley, MA 02482-4635
Mailing address
24 Crown Ridge Rd
Wellesley, MA 02482-4635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160124 | Other | MA | LICENSE # |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160124 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barreto & Schwartz Psychology Associates PC Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Cumberland, RI
- NPI 1780866707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1376722306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CROWN RIDGE RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024824635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CROWN RIDGE RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024824635",
"telephone_number": "781-400-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGHER",
"first_name": "IBRAHIM",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "160124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "160124",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.