Individual provider Active NPI

Alice Abarbanel, PH.D.

  • Psychologist
  • Albany, CA
National Provider Identifier
1598095002
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY5679 Issued in CA
Practice address
905 Santa Fe Ave
Albany, CA 94706-2119
Phone
(510) 527-9340
NPI assigned
Jan 5, 2010
Last updated
Feb 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY5679 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 1, 2018 through Aug 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY5679CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1598095002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072626",
            "telephone_number": "510-527-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SANTA FE AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062119",
            "telephone_number": "510-527-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABARBANEL",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.