Provider Demographics
NPI:1992947188
Name:RABIN, MELVIN A (EDD)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:A
Last Name:RABIN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BRENTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1944
Mailing Address - Country:US
Mailing Address - Phone:781-444-6620
Mailing Address - Fax:781-444-9970
Practice Address - Street 1:154 E CENTRAL ST
Practice Address - Street 2:SUITE 304A
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3644
Practice Address - Country:US
Practice Address - Phone:508-647-9900
Practice Address - Fax:508-647-9910
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPY 2173 PR103T00000X, 103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic