Individual provider Active NPI

Jacqueline Lebel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Fall River, MA
National Provider Identifier
1730233644
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
160073 Issued in MA
Practice address
1822 N Main St Ste 6
Fall River, MA 02720-1348
Phone
(774) 929-6797
Fax
(508) 466-6522
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 160073 MA
Child & Adolescent Psychiatry Physician 2084P0804X 160073 MA Primary

Addresses

Primary practice location

1822 N Main St Ste 6
Fall River, MA 02720-1348

Mailing address

1822 N Main St Ste 6
Fall River, MA 02720-1348
Phone (774) 929-6797

Other practice location 1

516 Hawthorn St Ste 4
Dartmouth, MA 02747
Phone (774) 929-7420

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000500 MA Practitioner - Psychiatry 6305808643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurohealth Consulting PCGroup PAC ID 9739538760, 2 clinicians

Practice addresses (Care Compare)

1822 N Main St
Suite 6
Fall River, MA 02720-1348
Phone (774) 929-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurohealth Consulting PC Psychiatry CurrentSince Nov 15, 2021 Accepting new patients
Huffman Enterprises, Inc Psychiatry PastSince Oct 29, 2017 Accepting new patients
Whitney Academy, Inc. Past Accepting new patients

Locations

1822 N Main St
Ste 6
Fall River, MA 02720
Phone (401) 924-1906

Organizations & group practices 3

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1730233644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 6",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201348",
            "telephone_number": "774-929-6797",
            "fax_number": "508-466-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 6",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201348",
            "telephone_number": "774-929-6797",
            "fax_number": "508-466-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Hawthorn St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "02747",
            "country_code": "US",
            "telephone_number": "774-929-7420",
            "fax_number": "508-742-1746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBEL",
        "first_name": "JACQUELINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "160073",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "160073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.