MARK A DEYAB LICSW
NPI 1104907732
Counselor - Mental Health in Waltham, MA

Q: What is Mark Deyab's NPI number?

The NPI number for Mark Deyab is 1104907732. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Mark Deyab's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Deyab was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 18, 2006PECOS Enrolled

20 HOPE AVE, G-05, WALTHAM, MA 02453(781) 799-3949(781) 899-6386 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark A Deyab Licsw NPPES

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

MARK A DEYAB LICSW (NPI 1104907732) is an individual mental health provider in Waltham, Massachusetts, licensed in Massachusetts (111824) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1104907732

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMARK A DEYABCredential: LICSW

Location Address20 HOPE AVE, G-05Waltham, MA 02453-2721

Mailing Address34 Wareham St, Apt. 1Medford, MA 02155-6222 · (781) 799-3949

Phone(781) 799-3949

Fax(781) 899-6386

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 18, 2006

Last NPPES UpdateMarch 17, 2009

✔ NPI 1104907732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 111824

20 HOPE AVE, Waltham, MA 02453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Deyab Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921065368

PECOS Enrollment IDI20041216000816

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 20

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

WISSAM J KHOORY M.D.

Internal Medicine

20 HOPE AVE, SUITE G03
WALTHAM, MA 02453

Middlesex County (781) 893-4490

FIRST RESPONSE CLINICAL SERVICES, LLC

Clinic/Center (Medical Specialty)

20 HOPE AVE, SUITE 204
WALTHAM, MA 02453

Middlesex County (866) 604-0911

DR. GIGI GIRGIS M.D.

Psychiatry & Neurology (Neurology)

20 HOPE AVE, SUITE 203
WALTHAM, MA 02453

Middlesex County (781) 647-3550

DR. MARTIN RICHLER M.D.

Ophthalmology

20 HOPE AVE, SUITE 212
WALTHAM, MA 02453

Middlesex County (781) 891-1447

MARYBETH ANN MILLS RN

Specialist/Technologist Cardiovascular (Vascular Specialist)

20 HOPE AVE, SUITE 204
WALTHAM, MA 02453

Middlesex County (866) 604-0911

SOLOMON A. GABBAY, MD PC

Internal Medicine (Cardiovascular Disease)

20 HOPE AVE, SUITE 206
WALTHAM, MA 02453

Middlesex County (781) 894-2498

MRS. ALISON KAPLANES MS, RD, LDN, CDE

Dietitian, Registered

20 HOPE AVE, SUITE G03
WALTHAM, MA 02453

Middlesex County (617) 645-4819

WISSAM KHOORY, MD,PC

Internal Medicine

20 HOPE AVE, SUITE G03
WALTHAM, MA 02453

Middlesex County (781) 893-4490

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 Mark Deyab's NPI number?

The NPI number for Mark Deyab is 1104907732. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Mark Deyab located?

Mark Deyab practices at 20 Hope Ave G-05, Waltham, MA 02453. The listed phone number is (781) 799-3949.

What is Mark Deyab's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mark Deyab enrolled in Medicare?

Yes. Mark Deyab is registered in the Medicare PECOS enrollment system.

What insurance does Mark Deyab accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark Deyab 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 Mark Deyab was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.