Anthony C Tabacco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

77796 Issued in MA

Practice address

425 Lake Ave N
Ste 101
Worcester, MA 01605-2047

Phone

(508) 753-3220

Fax

(508) 753-3224

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Boston University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Psych Services LLCGroup PAC ID 2961667498, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.tabacco@iccworcester.direct.emds.com

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.

• Advanced Psych Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1750648689

  MA, Psychiatry

  Medicare reassignment Care Compare group NPD
• Evolve Health, P.C.

  • Addiction (Substance Use Disorder) Psychologist
  • Quincy, MA
  • NPI 1760887434

  MA

  Medicare reassignment NPD
• Centrus Premier Home Care Inc

  • Home Health Agency
  • Plymouth, MA
  • NPI 1194711226
  NPD (past)
• Prescott Health Care

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1477567451

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1699733535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACCO",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "77796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Ann Szymcik
• Linda M Szymczak, PT
• Alyssa Lynne Szymkowicz
• T Massachusetts, LLC
• T Massachusetts, LLC
• Sarah Tabela, AGACNP-BC
• Collins A. Tabiri, M.D.
• Holly P Tabor-Hall
• Nancy Tabor
• Garminder K Tabri

• All providers in Worcester, MA
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.
• 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.

Verify at the official NPI Registry.