Individual provider Active NPI

Michael S Abrams, PHD

  • Clinical Psychologist
  • Clifton, NJ
National Provider Identifier
1295867729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100256400 Issued in NJ
Practice address
120 Mountain Park Rd
Clifton, NJ 07013-1152
Phone
(973) 742-3113
Fax
(973) 742-8511
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100256400 NJ Primary

Addresses

Primary practice location

120 Mountain Park Rd
Clifton, NJ 07013-1152

Mailing address

120 Mountain Park Rd
Clifton, NJ 07013-1152
Phone (973) 742-3113

Other names 1

  • Mike Abrams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000109 NJ Practitioner - Clinical Psychologist 3173561065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 Mountain Park Rd
Clifton, NJ 07013-1152
Phone (973) 742-3113

120 Mountain Rd
Clifton, NJ 07013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100256400NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology for New Jersey, LLC CurrentSince Jul 10, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295867729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN PARK RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131152",
            "telephone_number": "973-742-3113",
            "fax_number": "973-742-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN PARK RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131152",
            "telephone_number": "973-742-3113",
            "fax_number": "973-742-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100256400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "ABRAMS",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.