Alice Abarbanel, PH.D.
Individual provider Active NPI Psychologist · Albany, CA
NPI 1598095002 · NPPES record last updated Feb 5, 2010
Key facts
- NPI
- 1598095002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY5679 (CA)
- Practice address
- 905 Santa Fe Ave
Albany, CA 94706-2119 - Phone
- (510) 527-9340
- NPI assigned
- Jan 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Previously, effective Aug 1, 2018 through Aug 1, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5679 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5679 | CA | Yes |
Addresses
Primary practice location
905 Santa Fe Ave
Albany, CA 94706-2119
Mailing address
1014 Shattuck Ave
Berkeley, CA 94707-2626
Phone (510) 527-9340
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2010. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.