Organization Active NPI

Dr. David J. Abrams, PA

  • Clinical Psychologist
  • Boynton Beach, FL
National Provider Identifier
1285813386
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6554 Issued in FL
Legal business name
DR. DAVID J. ABRAMS, PA
Practice address
950 N Congress Ave
J230
Boynton Beach, FL 33426-3328
Phone
(305) 332-6678
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. David Jay Abrams, PSY.D.NPI 1982796223
Title
President
Phone
(305) 332-6678

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6554 FL Primary

Addresses

Primary practice location

950 N Congress Ave
J230
Boynton Beach, FL 33426-3328

Mailing address

13484 Jonquil CT
Wellington, FL 33414-8551
Phone (305) 332-6678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060224000249 FL Part B Supplier - Clinic/Group Practice 3779599931 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

950 N Congress Ave
#J230
Boynton Beach, FL 33426
Phone (305) 332-6678

950 N Congress Ave
Boynton Beach, FL 33426

950 N Congress Ave
Ste J230
Boynton Beach, FL 33426
Phone (305) 332-6678

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1285813386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13484 JONQUIL CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148551",
            "telephone_number": "305-332-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N CONGRESS AVE",
            "address_2": "J230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263328",
            "telephone_number": "305-332-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID J. ABRAMS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-332-6678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.