Organization Active NPI

Sherri B. Abraham, Psy.D., P.a.

  • Psychologist
  • Owings Mills, MD
National Provider Identifier
1083475644
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SHERRI B. ABRAHAM, PSY.D., P.A.
Practice address
11092 Hidden Trail Dr
Owings Mills, MD 21117-2356
Phone
(443) 602-0928
Fax
(443) 264-1404
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sherri AbrahamNPI 1427134642
Title
Owner
Phone
(443) 602-0928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11092 Hidden Trail Dr
Owings Mills, MD 21117-2356

Mailing address

11092 Hidden Trail Dr
Owings Mills, MD 21117-2356
Phone (443) 602-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240228000646 MD Part B Supplier - Clinic/Group Practice 4284079419 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1083475644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 HIDDEN TRAIL DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172356",
            "telephone_number": "443-602-0928",
            "fax_number": "443-264-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 HIDDEN TRAIL DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172356",
            "telephone_number": "443-602-0928",
            "fax_number": "443-264-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRI B. ABRAHAM, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-602-0928",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.