Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Bay Neurology Professional Corporation

Organization Clinical Neuropsychologist · NPI 1275668006

East Bay Neurology Professional Corporation is a Clinical Neuropsychologist 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