Individual provider Active NPI

Lidia D Dengelegi Abrams, PHD

  • Clinical Psychologist
  • Clifton, NJ
National Provider Identifier
1619009958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100296800 Issued in NJ
Practice address
120 Mountain Park Rd
Clifton, NJ 07013-1152
Phone
(973) 742-3113
Fax
(973) 742-8511
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100296800 NJ Primary

Addresses

Primary practice location

120 Mountain Park Rd
Clifton, NJ 07013-1152

Mailing address

120 Mountain Park Rd
Clifton, NJ 07013-1152
Phone (973) 742-3113

Other names 1

  • Lidia Dengelegi Abrams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000161 NJ Practitioner - Clinical Psychologist 6103869029 Practice locations: Clifton, NJ; Jersey City, NJ; Scotch Plains, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Mountain Park Rd
Clifton, NJ 07013-1152
Phone (973) 742-3113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100296800NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Community Counseling Center, Inc. Current Accepting new patients
Resolve Community Counseling Center, Inc. Current Accepting new patients
Psychology for New Jersey, LLC Past Accepting new patients

Locations

1830 Front St
Scotch Plains, NJ 07076
Phone (908) 322-9180

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619009958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN PARK RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131152",
            "telephone_number": "973-742-3113",
            "fax_number": "973-742-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN PARK RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131152",
            "telephone_number": "973-742-3113",
            "fax_number": "973-742-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENGELEGI ABRAMS",
        "first_name": "LIDIA",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100296800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDIA",
            "last_name": "DENGELEGI ABRAMS",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.