Active NPI
Nabil Karroum, M.D.
- Psychiatry Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0059623
- Practice address
- 10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414 - Phone
- (561) 790-6414
- Fax
- (561) 204-2721
- NPI assigned
- Sep 19, 2005
- Last updated
- Jul 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0059623 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME0059623 | FL |
Addresses
Primary practice location
10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414
Mailing address
10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414-6108
Phone (561) 204-2771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0059623 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boynton Beach Florida Behavioral Health Hospital Company, LLC | Current | Accepting new patients | |
| 901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC | Current | Accepting new patients |
Locations
4905 Park Ridge Blvd
Boynton Beach, FL 33426
Phone (561) 299-4164
993 45th St
Mangonia Park, FL 33407
Phone (561) 257-3348
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NeuroBehavioral Hospitals of the Palm Beaches North
- Psychiatric Hospital
- Mangonia Park, FL
- NPI 1396312021
-
dba Neurobehavioral Hospital of the Palm Beaches- South
- Psychiatric Hospital
- Boynton Beach, FL
- NPI 1023774932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1710972468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10111 W FOREST HILL BLVD",
"address_2": "SUITE 369",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146108",
"telephone_number": "561-204-2771",
"fax_number": "561-204-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10111 W FOREST HILL BLVD",
"address_2": "SUITE 369",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-790-6414",
"fax_number": "561-204-2721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARROUM",
"first_name": "NABIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0059623",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME0059623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.