Individual provider Active NPI

Elaine Gerry Abrams, MFT

  • Specialist
  • Santa Rosa, CA
National Provider Identifier
1194919845
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MEC28231 Issued in CA
Practice address
403 Chinn St
Santa Rosa, CA 95404-4338
Phone
(707) 578-6444
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MEC28231 CA Primary

Addresses

Primary practice location

403 Chinn St
Santa Rosa, CA 95404-4338

Mailing address

5540 Mulberry Dr
Santa Rosa, CA 95409-3833
Phone (707) 538-7203

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5540 Mulberry Dr
Santa Rosa, CA 95409-3833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MEC28231CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1194919845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 MULBERRY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093833",
            "telephone_number": "707-538-7203",
            "fax_number": "707-538-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CHINN ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044338",
            "telephone_number": "707-578-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "ELAINE",
        "middle_name": "GERRY",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "MEC28231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.