Margaret Abraham, PHD
Individual provider Active NPI Clinical Psychologist · Wauwatosa, WI
NPI 1053194407 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1053194407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5166 (WI)
- Practice address
- 1155 N Mayfair Rd
Wauwatosa, WI 53226-3462 - Phone
- (414) 955-5990
- Fax
- (414) 955-6282
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5166 | WI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5166 | WI | Yes |
| Psychologist | 103T00000X | 5166 | WI |
Addresses
Primary practice location
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Mailing address
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053194407 | Medicaid | WI |
Other providers in Wauwatosa, WI
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All providers in Wauwatosa, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.