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Active NPI 1285690040 Individual Practitioner Male Practitioner

Dr. Gabriel Y El-Hage Boutrous , PhD

Psychologist • Canton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gabriel El-Hage Boutrous, PhD is a certified Psychologist practicing in Canton, OH. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. El-Hage Boutrous delivers high-quality medical care to the local community at 4565 DRESSLER RD NW.

Dr. El-Hage Boutrous is affiliated with Mercy Professional Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4565 Dressler Rd Nw
Suite Ll 21

Canton, OH 447182549

Telephone 3304919700
Fax 3304919730
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Canton, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +14.7 yrs vs City Avg
City Avg: 26.3 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Canton, OH (1639 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. El-Hage Boutrous (41 Years) 41 Yrs
Canton Specialty Average (26.3 Years) 26.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
47 14 $90.00 $60.62
90791 Psychiatric diagnostic evaluation
18 18 $250.00 $122.00

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 3718

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0685290 (OH)

Hospital & Practice Group Affiliations

Mercy Professional Care, Llc

1320 Mercy Dr Nw, Canton, OH 447082614

Phone: 3304891478

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
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Doctor of Dental Surgery

Laura Fries , MSN, CNP, FNP-C

Nurse Practitioner - Family

NPI 1154781730

Master of Science in Nursing, Certified Nurse Practitioner, Family Nurse Practitioner (Certified)

Dr. Anthony Codispoti , DDS

Dentist - General Practice

NPI 1174513014

Doctor of Dental Surgery

Margaret Koenig , RD, LD, CDE

Dietitian, Registered

NPI 1174536452

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Kelli Baker , CNP

Nurse Practitioner

NPI 1255880779

Certified Nurse Practitioner

Dr. Arvind Krishna , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1275579542

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2007

Registered at 4565 DRESSLER RD NW, SUITE LL 21, CANTON, OH 447182549 (Tel: 3304919700)

📍
Updated Business Mailing Address November 02, 2007

Registered at 4565 DRESSLER RD NW, SUITE LL 21, CANTON, OH 447182549 (Tel: 3304919700)

👤
Provider Name / Credentials Updated November 02, 2007

Recorded as GABRIEL EL-HAGE BOUTROUS, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Psychologist (License #3718 in OH)

🟢
Initial NPI Registration & Enumeration April 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285690040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2006
Last Update: November 02, 2007
Sole Proprietor: Yes

Mailing Address

4565 Dressler Rd Nw, Suite Ll 21

Canton, OH 447182549

Phone: 3304919700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.