Active NPI
Mary Grace Antonette Lavina Abear, PSYD
- Clinical Psychologist
- Merced, CA
National Provider Identifier
1306356969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY35685
- Practice address
- 5200 N Lake Rd
Merced, CA 95343-5001 - Phone
- (209) 228-4266
- NPI assigned
- Oct 9, 2017
- Reactivated
- Oct 18, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Clinical Psychologist | 103TC0700X | PSY35685 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | IMF100848 | CA |
Addresses
Primary practice location
5200 N Lake Rd
Merced, CA 95343-5001
Mailing address
PO Box 1318
Sacramento, CA 95812-1318
Phone (707) 315-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35685 | CA | MD | Clinical Psychologist |
| IMF100848 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1306356969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1318",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958121318",
"telephone_number": "707-315-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 N LAKE RD",
"city": "MERCED",
"state": "CA",
"postal_code": "953435001",
"telephone_number": "209-228-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEAR",
"first_name": "MARY GRACE ANTONETTE",
"middle_name": "LAVINA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"deactivation_date": "2017-10-11",
"reactivation_date": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY35685",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF100848",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.