NPIMap

Organization Active NPI

Abba Enterprises LLC

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1346507332
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ABBA ENTERPRISES LLC
Practice address
2301 Research Blvd
302
Rockville, MD 20850-6265
Phone
(703) 752-7881
Fax
(703) 752-7880
NPI assigned
Apr 16, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mr. James R. Perlstrom, PHDNPI 1760575765
Title
President
Phone
(703) 752-7881

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 Psychologist 103TC0700X MD Primary

Addresses

Primary practice location

2301 Research Blvd
302
Rockville, MD 20850-6265

Mailing address

2301 Research Blvd
302
Rockville, MD 20850-3204
Phone (703) 752-7881

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1346507332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD",
            "address_2": "302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503204",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD",
            "address_2": "302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506265",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "PERLSTROM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-752-7881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.