Individual provider Active NPI

Yousef Abou-Allaban, MD

  • Psychiatry Physician
  • Walpole, MA
National Provider Identifier
1922040666
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
80051 Issued in MA
Practice address
420 Main St
Suite 15
Walpole, MA 02081-3753
Phone
(508) 660-1666
Fax
(508) 660-1667
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 80051 MA Primary

Addresses

Primary practice location

420 Main St
Suite 15
Walpole, MA 02081-3753

Mailing address

420 Main St
Suite 15
Walpole, MA 02081-3753
Phone (508) 660-1666

Other identifiers 1

IdentifierTypeStateIssuer
3150674MedicaidMA

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
I20050516000743 MA Practitioner - Psychiatry 9335129592 Reassigns benefits to 2 organizations
Practice locations: Walpole, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro Behavioral Center LLCGroup PAC ID 9032410667, 13 clinicians

Practice addresses (Care Compare)

420 Main St
Suite 15
Walpole, MA 02081-3753
Phone 50866016661305

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 22, 2016 Accepting new patients
Neuro Behavioral Center, LLC Psychiatry CurrentSince Nov 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 22, 2016 Accepting new patients
Walpole Physical Therapy Services, Inc PastSince Jul 21, 1999 Accepting new patients
Boston Neurobehavioral Associates, LLC Psychiatry Past Accepting new patients
Boston Healthcare Inc PastSince Jul 1, 2005 Accepting new patients
Prescott Health Care Psychiatry Past Accepting new patients

Locations

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

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

420 Main St
Ste 15
Walpole, MA 02081
Phone (508) 660-1666

Organizations & group practices 7

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1922040666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "address_2": "SUITE 15",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020813753",
            "telephone_number": "508-660-1666",
            "fax_number": "508-660-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "address_2": "SUITE 15",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020813753",
            "telephone_number": "508-660-1666",
            "fax_number": "508-660-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU-ALLABAN",
        "first_name": "YOUSEF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "80051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150674",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.