Active NPI
Ebi Okara, ED.D.
- Clinical Psychologist
- Randolph, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6907
- Practice address
- 490 N Main St
Suite 2
Randolph, MA 02368-3741 - Phone
- (781) 963-1200
- Fax
- (781) 963-1201
- NPI assigned
- May 13, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6907 | MA | Primary |
Addresses
Primary practice location
490 N Main St
Suite 2
Randolph, MA 02368-3741
Mailing address
490 N Main St
Suite 2
Randolph, MA 02368-3741
Phone (781) 963-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Main St
Suite 21
Walpole, MA 02081-3753
Phone (781) 963-1200
490 N Main St
Suite 2
Randolph, MA 02368-3741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6907 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metis Psychological Associates | Current | Accepting new patients |
Locations
490 N Main St
Ste 2
Randolph, MA 02368
Phone (781) 963-1200
420 Main St
Ste 21
Walpole, MA 02081
Phone (781) 963-1200
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Beth Israel Deaconess Hospital-Milton Inc | Hospital | Corporate Director | Oct 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
Corporate Director
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.
-
- Psychologist
- Randolph, MA
- NPI 1912131061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1467686915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 N MAIN ST",
"address_2": "SUITE 2",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683741",
"telephone_number": "781-963-1200",
"fax_number": "781-963-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 N MAIN ST",
"address_2": "SUITE 2",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683741",
"telephone_number": "781-963-1200",
"fax_number": "781-963-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKARA",
"first_name": "EBI",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.