Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Bay Neurology Professional Corporation

Organization Clinical Neuropsychologist · NPI 1275668006

East Bay Neurology Professional Corporation provides Clinical Neuropsychologist services in Pawtucket, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2007.

Licensed in
MA, RI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

333 School St Ste 216
Pawtucket, RI 02860
Phone: (401) 722-7300
Fax: (401) 722-7390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD 09501 (RI)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PS00999 (RI)
Neurology Physician Taxonomy 2084N0400X · Licence 212368 (MA)

Record details

NPI number1275668006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Motasem Al Yacoub — President · (401) 724-4100
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJune 20, 2018
Mailing address333 School St Ste 216, Pawtucket, RI 02860-5336

Other providers in Pawtucket