Gabriel Y. El-Hage Boutrous, PHD
NPI 1285690040ActiveIndividual· Psychologist· Canton, OH
Psychologist (PHD) with Mercy Professional Care, LLC, practicing in Canton, Ohio. Enrolled in Medicare as practitioner - clinical psychologist. Lists Mercy Medical Center as a hospital affiliation.
Overview
| NPI | 1285690040 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Apr 21, 2006 |
| Last updated in NPPES | Nov 2, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3718 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OH) |
|---|
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Mercy Professional Care, LLCCarrollton, OH · 51 clinicians
Hospital affiliation
- Mercy Medical CenterCanton, OH
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