Adrienne B Abramowitz, PHD
Individual provider Active NPI Clinical Psychologist · East Orange, NJ
NPI 1710178751 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1710178751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS01201 (RI)
- Practice address
- 385 Tremont Avenue (116a)
VA New Jersey Health Care System
East Orange, NJ 07018 - Phone
- (973) 676-1000
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 21, 2023 through Jun 21, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01201 | RI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS01201 | RI | Yes |
Addresses
Primary practice location
385 Tremont Avenue (116a)
VA New Jersey Health Care System
East Orange, NJ 07018
Mailing address
385 Tremont Avenue (116a)
VA New Jersey Health Care System
East Orange, NJ 07018
Phone (973) 676-1000
Other providers in East Orange, NJ
- Suhailah Abdul Aziz
- Abdurrahman Abdulhakeem
- Latifah G Abdus-Salaam
- Sana Abeer
- Rosetta Abraham
- Access Family Services, Inc.
- Iris Berangell Acosta Amezquita
- Acumedcare, Corp.
- Samuel Babatunde Adegboyega
- Rilwan Adigun
All providers in East Orange, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. 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.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.