Liza Malin Abelson-Gertler, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

131 NW Hawthorne Ave
Ste 112
Bend, OR 97703-2957

Phone

(541) 241-5980

Fax

(000) 000-0000

NPI assigned

Dec 16, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

• Liza Malin Gertler Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2019.

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1477097939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19528 POND MEADOW AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023324",
            "telephone_number": "541-419-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NW HAWTHORNE AVE",
            "address_2": "STE 112",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032957",
            "telephone_number": "541-241-5980",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2076 S Eagle Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426707",
            "country_code": "US",
            "telephone_number": "541-419-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABELSON-GERTLER",
        "first_name": "LIZA",
        "middle_name": "MALIN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "GERTLER",
            "middle_name": "MALIN",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Abatie
• Alyssa D Abbey, PA-C
• Jeffrey Abbott
• Misoo Kim Abele, MD
• Travis Austin Abele, MD
• Francena Diane Abendroth, MD
• Robert A Abernathy, M.D.
• Jesse Mae Abraham, LMT
• Isabelle Abrams, MSCP, BA NUTR
• Emily Abreu, MS, CCC-SLP

• All providers in Bend, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.