| East Bay Neurology Professional Corporation | |
|
333 School St Ste 216 Pawtucket RI 02860 | |
| (401) 722-7300 | |
| (401) 722-7390 |
| Full Name | East Bay Neurology Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 333 School St Ste 216, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Motasem A Al Yacoub (PRESIDENT) |
| Authorized Official Contact | 4017244100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Neurology Professional Corporation 333 School St Ste 216 Pawtucket RI 02860-5336 Ph: (401) 722-7300 | East Bay Neurology Professional Corporation 333 School St Ste 216 Pawtucket RI 02860 Ph: (401) 722-7300 |
| NPI Number | 1275668006 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 3678671492 |
|---|---|
| Medicare Enrollment ID | O20100520000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275668006 | NPI | - | NPPES |
| 7006029 | Medicaid | RI |
| Provider Name | Motasem A Al-yacoub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609837707 PECOS PAC ID: 1456330901 Enrollment ID: I20040717000159 |
| Provider Name | Laura L Frakey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720260805 PECOS PAC ID: 0143398776 Enrollment ID: I20090910000158 |
Cynthia M Barte Licsw, Lcdp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Suite 206, Pawtucket, RI 02860 Phone: 401-965-6699 Fax: 401-568-9050 | |
Wendy V., Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Prospect St Ste 206, Pawtucket, RI 02860 Phone: 401-400-2135 Fax: 401-272-4361 | |
Archer Mental Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Bristol Ave, Pawtucket, RI 02861 Phone: 401-572-8052 | |
Addiction Recovery Institute Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 N Union St, Pawtucket, RI 02860 Phone: 401-725-2520 Fax: 401-723-9595 | |
Blackstone Valley Community Health Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-312-9892 | |
Gateway Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 - 105 Bacon Street, Pawtucket, RI 02860 Phone: 401-722-3560 Fax: 401-722-3593 | |
Peerpoint Recovery Residences Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Coyle Ave, Pawtucket, RI 02860 Phone: 401-516-8958 |