NPIMap

Organization Active NPI

Penny Michele Abrams PHD

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1518404086
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20753 Issued in CA
Legal business name
PENNY MICHELE ABRAMS PHD
Practice address
9404 Genesee Ave
Suite 245
La Jolla, CA 92037-1339
Phone
(713) 906-9057
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Penny Abrams, PHDNPI 1851470504
Title
Owner
Phone
(617) 651-7582

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20753 CA Primary

Addresses

Primary practice location

9404 Genesee Ave
Suite 245
La Jolla, CA 92037-1339

Mailing address

9404 Genesee Ave
Suite 245
La Jolla, CA 92037-1339
Phone (713) 906-9057

National Provider Directory

National Provider Directory

Locations

9404 Genesee Ave
Ste 245
La Jolla, CA 92037
Phone (713) 906-9057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1518404086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE",
            "address_2": "SUITE 245",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371339",
            "telephone_number": "713-906-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE",
            "address_2": "SUITE 245",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371339",
            "telephone_number": "713-906-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY MICHELE ABRAMS PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-651-7582",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.