OUBAH ABDALLA PSY D
NPI 1023852902
Psychologist in Jackson, TN

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment
382 CARRIAGE HOUSE DR STE D, JACKSON, TN 38305(215) 429-1730 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oubah Abdalla Psy D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUBAH ABDALLA PSY D (NPI 1023852902) is an individual psychologist in Jackson, Tennessee, licensed in Tennessee (3962) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023852902
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameOUBAH ABDALLACredential: PSY D
Location Address382 CARRIAGE HOUSE DR STE DJackson, TN 38305-2299
Mailing Address382 Carriage House Dr Ste DJackson, TN 38305-2299 · (215) 429-1730
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
NPI 1023852902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TN · 3962
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
382 CARRIAGE HOUSE DR STE D, Jackson, TN 38305

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Oubah Abdalla Psy D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234676669
PECOS Enrollment IDI20240805000304
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
382 CARRIAGE HOUSE DR STE D
JACKSON, TN 38305
Psychologist
382 CARRIAGE HOUSE DR STE D
JACKSON, TN 38305
Psychologist (Clinical)
382 CARRIAGE HOUSE DR STE D
JACKSON, TN 38305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oubah Abdalla's NPI number?

The NPI number for Oubah Abdalla is 1023852902. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Oubah Abdalla located?

Oubah Abdalla practices at 382 Carriage House Dr Ste D, Jackson, TN 38305. The listed phone number is (215) 429-1730.

What is Oubah Abdalla's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Oubah Abdalla enrolled in Medicare?

Yes. Oubah Abdalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Oubah Abdalla accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Oubah Abdalla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oubah Abdalla was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.