Craig L Abrams, PHD
Individual provider Active NPI Psychologist · Sheboygan, WI
NPI 1750367116 · NPPES record last updated Nov 16, 2011
Key facts
- NPI
- 1750367116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2110057 (WI)
- Practice address
- 615 S 8TH St
Ste G20
Sheboygan, WI 53081-4405 - Phone
- (920) 457-8866
- Fax
- (920) 457-8867
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Life Point Counseling LLC
Practice addresses (Care Compare)
2209 Eastern Ave
Plymouth, WI 53073-4281
Phone (920) 892-7606
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20050811000444 | WI | Practitioner - Clinical Psychologist | 5496784225 |
Reassigns benefits to 1 organization Practice locations: Mequon, WI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2110057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Point Counseling, LLC | Current |
Accepting new patients | |
| Northshore Clinic of Sheboygan Inc | Past | Accepting new patients | |
| North Shore Center LLC | Past | Accepting new patients |
Locations
2209 Eastern Ave
Plymouth, WI 53073
Phone (920) 449-4247
805 N 6th St
Sheboygan, WI 53081
Phone (920) 457-8866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2110057 | WI | Yes |
Addresses
Primary practice location
615 S 8TH St
Ste G20
Sheboygan, WI 53081-4405
Mailing address
615 S 8TH St
Ste G20
Sheboygan, WI 53081-4405
Phone (920) 457-8866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39132400 | Medicaid | WI |
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2011. 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.