CMS-1500 Box 24J / 33a • NPI
1013448620
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084P0800X (CMS 26)
Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)
Box 32 Service Location & ZIP+4
365 MONTAUK AVE, NEW LONDON, CT, 06320-4700
✓ 9-Digit EDI 837 ZIP+4 (06320-4700)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013448620 (MARIAM F. ABOUKAR, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1013448620)
Medicare Beneficiaries
11
Total Billed Services
14
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$1,476.60
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Benztropine Mesylate Benztropine Mesylate | 37 | 26 |
| Fluoxetine Hcl Fluoxetine Hcl | 23 | <11 |
| Haloperidol Haloperidol | 21 | 12 |
| Haloperidol Decanoate Haloperidol Decanoate | 52 | 11 |
| Hydroxyzine Hcl Hydroxyzine Hcl | 12 | <11 |
| Invega Sustenna Paliperidone Palmitate | 13 | <11 |
| Lamotrigine Lamotrigine | 14 | <11 |
| Olanzapine Olanzapine | 34 | 16 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013448620 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARIAM F. ABOUKAR, D.O. |
| Plain-English Specialty | Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: 2084P0800X (Psychiatry & Neurology, Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 365 MONTAUK AVE, NEW LONDON, CT, 06320-4700 |
| Practice Telephone / Fax | Tel: (860) 442-0711 |
| Administrative Mailing Address | 130 BISHOP ALLEN DR STE 5, CAMBRIDGE, MA, 02139-2499 |
| Enumeration & Last Sync | Enumerated: 2017-03-24 | CMS Record Updated: 2025-01-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)
What Does Taxonomy Code 2084P0800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARIAM F. ABOUKAR, D.O.)
Typical CPT / Diagnostic Procedures:- Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
- Psychopharmacological Management & Supportive Psychotherapy
- Medication-Assisted Treatment (MAT) for Substance Use Disorders
- SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
- Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
- Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0015X — Psychiatry & Neurology, Psychosomatic MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: MA | License: 238215 | Primary: Secondary |
2084P0015X — Psychiatry & Neurology, Psychosomatic MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: CT | License: 79700 | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: MA | License: 283215 | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: CT | License: 79700 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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