Active NPI
Cini Abraham, M.D., M.D.
- Psychiatry Physician
- Rockwall, TX
National Provider Identifier
1063421576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M0629
- Practice address
- 2249 Ridge Road
Rockwall, TX 75087 - Phone
- (214) 645-0624
- Fax
- (214) 645-0078
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M0629 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | M0629 | TX |
Addresses
Primary practice location
2249 Ridge Road
Rockwall, TX 75087
Mailing address
2249 Ridge Road
Rockwall, TX 75087
Phone (469) 402-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 5, 2023 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0629 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview TMS Center PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockwall, TX
- NPI 1780161570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1063421576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 RIDGE ROAD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "75087",
"telephone_number": "469-402-3600",
"fax_number": "469-402-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 RIDGE ROAD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "75087",
"telephone_number": "214-645-0624",
"fax_number": "214-645-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM, M.D.",
"first_name": "CINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M0629",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "M0629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.