EBI OKARA (ED.D.) – Clinical Psychologist, NPI 1467686915

EBI OKARA (ED.D.) is a healthcare provider. based in Randolph, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D.. They hold a License No. 6907 (MA). The NPI Number for EBI OKARA (ED.D.) is 1467686915

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
EBI OKARA (ED.D.)
NPI
1467686915
Phone
(781) 963-1200
Address
490 N MAIN ST
Enumeration Date
13 May 2009
Last Update Date
13 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
0042260192
Group Practice PAC ID
9335295682
Professional Enrollment ID
I20050126000536
Address ID
MA023683741RA490XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,700 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for EBI OKARA (ED.D.)

  • 490, North Main Street, Randolph, Norfolk County, Massachusetts, 02368, United States

    SUITE 2

    RANDOLPH, MA 023683741

    Phone: (781) 963-1200

    Fax: (781) 963-1201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050126000536IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14111$0
View full utilization report →

Insurance plans in this area (ZIP 02368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335295682View full group profile
NameSpecialtyState
Clinical PsychologistMA

Reviews

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Frequently asked questions

Is there an official ID for EBI OKARA (ED.D.) in U.S. healthcare records?
The official identifier for EBI OKARA (ED.D.) is NPI 1467686915.
Is EBI OKARA (ED.D.) shown as active in public data?
Registry records indicate EBI OKARA (ED.D.) maintains an active NPI.
How would a patient describe EBI OKARA (ED.D.)'s focus?
For EBI OKARA (ED.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is EBI OKARA (ED.D.) associated with Randolph?
Public fields place EBI OKARA (ED.D.) around Randolph, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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