| Neuro Behavioral Center, Llc | |
|
420 Main St Suite # 15 Walpole MA 02081-3753 | |
| (508) 660-1666 | |
| (508) 660-1667 |
| Full Name | Neuro Behavioral Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 420 Main St, Walpole, Massachusetts |
| Authorized Official Name and Position | Yousef Abou-allaban (PRESIDENT) |
| Authorized Official Contact | 5086601666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Behavioral Center, Llc 420 Main St Suite # 15 Walpole MA 02081-3753 Ph: (508) 660-1666 | Neuro Behavioral Center, Llc 420 Main St Suite # 15 Walpole MA 02081-3753 Ph: (508) 660-1666 |
| NPI Number | 1699143180 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Medicare PECOS PAC ID | 9032410667 |
|---|---|
| Medicare Enrollment ID | O20151223001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699143180 | NPI | - | NPPES |
| Provider Name | Rona Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750448007 PECOS PAC ID: 9931148467 Enrollment ID: I20050425001192 |
| Provider Name | Yousef Abou Allaban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922040666 PECOS PAC ID: 9335129592 Enrollment ID: I20050516000743 |
| Provider Name | Mahmood Hussain Sharfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154311611 PECOS PAC ID: 6901823897 Enrollment ID: I20051031000248 |
| Provider Name | Ujala Fawad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063662112 PECOS PAC ID: 9335392224 Enrollment ID: I20121228000193 |
| Provider Name | Ronald T Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841443470 PECOS PAC ID: 0547490179 Enrollment ID: I20140227001558 |
| Provider Name | Marylouise Demick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538524848 PECOS PAC ID: 6002112521 Enrollment ID: I20160309002591 |
| Provider Name | Aliyah Banister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952845968 PECOS PAC ID: 0941577670 Enrollment ID: I20170530001417 |
| Provider Name | Hala Sadek Moustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245592161 PECOS PAC ID: 8527340694 Enrollment ID: I20170530001693 |
| Provider Name | Ekaterina Filatov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548768435 PECOS PAC ID: 3072867274 Enrollment ID: I20181106002157 |
| Provider Name | Robin Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518383223 PECOS PAC ID: 1254554629 Enrollment ID: I20191105002733 |
| Provider Name | Jennifer M Sammarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346593530 PECOS PAC ID: 3274967898 Enrollment ID: I20200107000797 |
| Provider Name | Elizabeth Ann Gaulin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891334496 PECOS PAC ID: 1658708730 Enrollment ID: I20200302001988 |
| Provider Name | Susan Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720164320 PECOS PAC ID: 4880611458 Enrollment ID: I20210420000727 |
| Provider Name | Asma Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990146 PECOS PAC ID: 9234547472 Enrollment ID: I20210428000432 |
| Provider Name | Priya Marie Hippolyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124592324 PECOS PAC ID: 1254740798 Enrollment ID: I20210512002805 |
| Provider Name | Yousuf Allawala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497709810 PECOS PAC ID: 8224046354 Enrollment ID: I20210601001372 |
| Provider Name | Toni Parolisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300850 PECOS PAC ID: 3476961509 Enrollment ID: I20210720001774 |
| Provider Name | Kristina T Vassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786645 PECOS PAC ID: 8325444797 Enrollment ID: I20210909003354 |
| Provider Name | Ifeoma Alexandria Obiora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649626847 PECOS PAC ID: 8820481096 Enrollment ID: I20220210001934 |
| Provider Name | Meghan Marie Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912593773 PECOS PAC ID: 7315325768 Enrollment ID: I20220526000416 |
| Provider Name | Laura Langevin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023765930 PECOS PAC ID: 1254714355 Enrollment ID: I20220823002357 |
| Provider Name | Jennifer A Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881233203 PECOS PAC ID: 2860820925 Enrollment ID: I20230629003173 |
| Provider Name | Vivens Ulysse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487332615 PECOS PAC ID: 2668827304 Enrollment ID: I20231016001827 |
| Provider Name | Amy Rose Gribauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568144806 PECOS PAC ID: 2860862612 Enrollment ID: I20231204001795 |
| Provider Name | Joseph W Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831225283 PECOS PAC ID: 4587015672 Enrollment ID: I20240112003804 |
| Provider Name | Charlene Ann Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881826360 PECOS PAC ID: 2769834100 Enrollment ID: I20240122001155 |
| Provider Name | Racheal Nakazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699417782 PECOS PAC ID: 5991148066 Enrollment ID: I20240206000201 |
| Provider Name | Angela Tong-mulkern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740055920 PECOS PAC ID: 4587004924 Enrollment ID: I20240501003867 |
| Provider Name | Neuza Barros Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699276808 PECOS PAC ID: 0749622496 Enrollment ID: I20240525000017 |
Neuro Behavioral Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Main St Ste 15, Walpole, MA 02081 Phone: 508-660-1666 Fax: 508-660-1667 | |
New England Fertility Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Main St Ste 9, Walpole, MA 02081 Phone: 617-855-9289 | |
Bconnected Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Main St Ste 9, Walpole, MA 02081 Phone: 508-594-3231 Fax: 508-213-9012 | |
Walpole Behavioral Healthcare, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 841 Main St, Ll2, Walpole, MA 02081 Phone: 508-660-6699 Fax: 508-660-6658 | |
Isaacs & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Main St, Suite 4, Walpole, MA 02081 Phone: 508-668-3284 Fax: 508-668-3381 | |
Kathleen Schuster Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 West St, Walpole, MA 02081 Phone: 508-951-0847 Fax: 508-921-4613 | |
Jeni Labbe, Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 School St Unit 5, Walpole, MA 02081 Phone: 774-469-0522 |