Individual provider Active NPI

Sabina Ferreira Tavares, CNP

  • Psychiatry Physician
  • East Boston, MA
National Provider Identifier
1477064293
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RN2267137 Issued in MA
Practice address
464 Bremen St
East Boston, MA 02128-1430
Phone
(617) 567-9200
Fax
(617) 567-9300
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X RN2267137 MA Primary

Addresses

Primary practice location

464 Bremen St
East Boston, MA 02128-1430

Mailing address

172 Putnam St Apt 3
East Boston, MA 02128-1461
Phone (617) 359-2146

Other identifiers 1

IdentifierTypeStateIssuer
RN2267137OtherMANP LISENCE

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180108002935 MA Practitioner - Nurse Practitioner 8022377522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

464 Bremen St
East Boston, MA 02128-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2267137MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 15, 2018 Accepting new patients
East Boston Behavioral Health and Medicine LLC Psychiatry CurrentSince Apr 27, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 15, 2018 Accepting new patients
Sabina Tavares Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

464 Bremen St
Ste 5
East Boston, MA 02128

464 Bremen St
Ste 4
East Boston, MA 02128
Phone (617) 567-9200

464 Bremen St
East Boston, MA 02128
Phone (617) 567-9200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1477064293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PUTNAM ST APT 3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281461",
            "telephone_number": "617-359-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 BREMEN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281430",
            "telephone_number": "617-567-9200",
            "fax_number": "617-567-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "SABINA",
        "middle_name": "FERREIRA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "RN2267137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LISENCE",
            "identifier": "RN2267137",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

Verify at the official NPI Registry.