Active NPI
Matthew Ian Rebel
- Psychiatry Physician
- West Roxbury, MA
National Provider Identifier
1841995545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1020274
- Practice address
- 1400 VFW Pkwy
West Roxbury, MA 02132-4927 - Phone
- (617) 323-7700
- NPI assigned
- Apr 3, 2023
- 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 | 1020274 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Mailing address
625 Glenwood Ave
Syracuse, NY 13207-1617
Phone (518) 257-2149
Other practice location 1
150 S Huntington Ave
Boston, MA 02130-4817
Phone (617) 232-9500
Other practice location 2
940 Belmont St
Brockton, MA 02301-5568
Phone (508) 583-4500
Other practice location 3
190 Old Derby St Ste 211
Hingham, MA 02043-4066
Phone (781) 214-1844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of Ny Upstate Medical University, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
190 Old Derby St
Suite 211
Hingham, MA 02043-4049
60 Hodges Ave
Taunton, MA 02780-3034
625 Glenwood Ave
Syracuse, NY 13207-1617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1841995545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 GLENWOOD AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132071617",
"telephone_number": "518-257-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "617-323-7700"
}
],
"practiceLocations": [
{
"address_1": "150 S Huntington Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021304817",
"country_code": "US",
"telephone_number": "617-232-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 Belmont St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023015568",
"country_code": "US",
"telephone_number": "508-583-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Old Derby St Ste 211",
"address_purpose": "LOCATION",
"city": "Hingham",
"state": "MA",
"postal_code": "020434066",
"country_code": "US",
"telephone_number": "781-214-1844",
"fax_number": "781-350-9572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REBEL",
"first_name": "MATTHEW",
"middle_name": "IAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "1020274",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.