Healthcare Provider Details

I. General information

NPI: 1326608456
Provider Name (Legal Business Name): RACHEL ABARBANEL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 BEACON ST STE 300
BROOKLINE MA
02446-5252
US

IV. Provider business mailing address

1309 BEACON ST STE 300
BROOKLINE MA
02446-5252
US

V. Phone/Fax

Practice location:
  • Phone: 617-383-7839
  • Fax:
Mailing address:
  • Phone: 617-383-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2297152
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2297152
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: