Ehab Yacoub MD Inc.
NPI 1417373713 · Child & Adolescent Psychiatry Physician · Gardena, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ehab Yacoub MD Inc. is a Child & Adolescent Psychiatry Physician organization in Gardena, CA (NPI 1417373713).
Provider details
- NPI number
- 1417373713
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ehab Yacoub, Medical Director(310) 515-8113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brain Health USA
Additional practice locations (1)
- 20 E Thomas Rd Ste 2200Phoenix, AZ 85012-3133Phone: (877) 515-8113Fax: (877) 538-2102
Registry dates
- Enumerated
- 2014-03-11
- Last updated
- 2024-01-02
- Certified
- 2024-01-02
Frequently asked questions
- What is Ehab Yacoub MD Inc.'s NPI number?
- Ehab Yacoub MD Inc.'s National Provider Identifier (NPI) is 1417373713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ehab Yacoub MD Inc.?
- Ehab Yacoub MD Inc. is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Ehab Yacoub MD Inc. located?
- Ehab Yacoub MD Inc.'s practice location on file with NPPES is 1225 W 190th St Ste 280, Gardena, CA 90248-4305.
- What is Ehab Yacoub MD Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ehab Yacoub MD Inc. is (310) 515-8113.
- Does Ehab Yacoub MD Inc. accept Medicare?
- Ehab Yacoub MD Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ehab Yacoub MD Inc.?
- The authorized official listed on Ehab Yacoub MD Inc.'s NPPES record is Ehab Yacoub, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ehab Yacoub MD Inc.'s NPI active?
- Yes — Ehab Yacoub MD Inc.'s NPI (1417373713) is active in the NPPES registry as of the last update on 2024-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.