Evelyn Abramson, PHD
Individual provider Active NPI Psychologist · Lisbon, OH
NPI 1629157490 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629157490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 5393 (OH)
- Practice address
- 40722 State Route 154
Lisbon, OH 44432-8500 - Phone
- (330) 424-9573
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbiana County Mental Health Clinic
Practice addresses (Care Compare)
40722 State Route 154
Lisbon, OH 44432-8500
Phone (330) 424-9573
PO Box
Suite 429
Lisbon, OH 44432-8500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20040709000802 | OH | Practitioner - Clinical Psychologist | 3173501806 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbiana County Mental Health Clinic | Current |
Accepting new patients |
Locations
40722 State Route 154
Lisbon, OH 44432
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5393 | OH | Yes |
Addresses
Primary practice location
40722 State Route 154
Lisbon, OH 44432-8500
Mailing address
1108 Ravine Dr
Youngstown, OH 44505-1618
Other providers in Lisbon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.