Active NPI
Kristen Marie Abraham, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1356775035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014784
- Practice address
- 2215 Fuller Rd
Mental Health Service 116
Ann Arbor, MI 48105-2303 - Phone
- (734) 845-3471
- NPI assigned
- Aug 29, 2013
- Last updated
- Aug 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014784 | MI | Primary |
Addresses
Primary practice location
2215 Fuller Rd
Mental Health Service 116
Ann Arbor, MI 48105-2303
Mailing address
4620 Leafdale Ave
#5
Royal Oak, MI 48073-1762
Phone (248) 798-6013
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014784 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1356775035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 LEAFDALE AVE",
"address_2": "#5",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731762",
"telephone_number": "248-798-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"address_2": "MENTAL HEALTH SERVICE 116",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303",
"telephone_number": "734-845-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.