REVITAL RAHEL RACIN (NPI# 1790912905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790912905 |
| Entity Type | Individual |
| Full Name | REVITAL RAHEL RACIN |
| Credential | MD |
| Practice Address |
1180 Beacon St Suite 7d Brookline MA 02446-3885 |
| Practice Telephone | 6179936100 |
| Practice Fax Number | 6179936106 |
| Mailing Telephone | 6179936100 |
| Mailing Fax Number | 6179936106 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
258205 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1180 BEACON ST SUITE 7D |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900473 | Richard Alan Brodie | Internal Medicine | 1180 Beacon St, Brookline, MA 02446-3885 | 2005-05-27 |
| 1386118099 | Fitzgerald Psychological Services LLC | Psychologist | 1180 Beacon St, Ste 4b, Brookline, MA 02446-3806 | 2019-01-15 |
| 1215475397 | Saillant Medical LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-02-08 |
| 1992241848 | Rebecca Horne Pediatrics, LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-01-17 |
| 1568919785 | Lulu Kablawi | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2016-09-06 |
| 1285187674 | Erin Mcconnell | Physical Therapist | 1180 Beacon St, 6c, Brookline, MA 02446-3885 | 2016-08-02 |
| 1396197091 | Kyoko Okamura Md PC | Obstetrics & Gynecology | 1180 Beacon St, Suite Lla, Brookline, MA 02446-3885 | 2016-07-06 |
| 1174987358 | Lisa Marie Schostok | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2016-04-13 |
| 1407230949 | Yuko Mccolgan Md LLC | Family Medicine | 1180 Beacon St, 3b, Brookline, MA 02446-3885 | 2015-07-15 |
| 1326420902 | Nancy Hoffman | Social Worker | 1180 Beacon St, Brookline, MA 02446-3885 | 2015-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770703878 | Brookline Psychiatry, Inc. | Psychiatry & Neurology | 1685 Beacon St, Brookline, MA 02445-4411 | 2007-04-30 |
| 1164642310 | Janina R. Galler | Psychiatry & Neurology | 1685 Beacon Street, Brookline, MA 02445 | 2007-04-30 |
| 1831256379 | Xenia Johnson Bhembe | Psychiatry & Neurology | 1 Brookline Pl Ste 502, Brookline, MA 02445-7277 | 2007-01-03 |
| 1154725141 | Racinmd LLC | Psychiatry & Neurology | 1180 Beacon St, Suite 7d, Brookline, MA 02446-3885 | 2014-10-20 |
| 1750785895 | Behavioral Health Roots, LLC | Psychiatry & Neurology | 1093 Beacon St, Suite 402, Brookline, MA 02446-5695 | 2014-10-17 |
| 1841580057 | Jessica L Stern | Psychiatry & Neurology | 41 Garrison Rd, Brookline, MA 02445 | 2011-04-10 |
| 1447223151 | Allston Jesse Morris | Psychiatry & Neurology | 43 Garrison Rd, Brookline, MA 02445-4445 | 2006-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.