Indira L Abraham-Pratt, PH.D.
Individual provider Active NPI Clinical Psychologist · Winter Park, FL
NPI 1487964102 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1487964102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY8326 (FL)
- Practice address
- 1801 Lee Rd Ste 307
Winter Park, FL 32789 - Phone
- (407) 303-9200
- Fax
- (407) 303-9201
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111230000578 | FL | Practitioner - Clinical Psychologist | 7911173653 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8326 | FL | MD | Counseling Psychologist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1801 Lee Rd
Ste 307
Winter Park, FL 32789
Phone (407) 303-9200
Networks
- Freedom Health HMO Network
Interoperability endpoints
- iabrahampratt73549@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8326 | FL | Yes |
| Counseling Psychologist | 103TC1900X | PY8326 | FL |
Addresses
Primary practice location
1801 Lee Rd Ste 307
Winter Park, FL 32789
Mailing address
1801 Lee Rd Ste 307
Winter Park, FL 32789-2101
Phone (407) 303-9200
Other providers in Winter Park, FL
- Marjorie Pancho Abanador
- Jenny Jesus Abbott
- Nicole Livaudais Abbracciamento
- Ability Health Services and Rehabilitation LP
- Lisa Abner
- Nicole Abraham
- Luis M Abreu Valdes
- Helen V. Abreu
- George Manny Abreut
- Michael Abufaris
All providers in Winter Park, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.