Individual provider Active NPI

Rani Manaloor Abraham, M.D.

  • Child & Adolescent Psychiatry Physician
  • Forest City Specialtly Family, FL
National Provider Identifier
1821238114
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD421717 Issued in PA
Practice address
7912 Forest City Road
Forest City Specialtly Family, FL 32806
Phone
(407) 905-8827
Fax
(407) 209-3220
NPI assigned
Feb 25, 2009
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD421717 PA
Child & Adolescent Psychiatry Physician 2084P0804X MD421717 PA Primary
Geriatric Psychiatry Physician 2084P0805X MD421717 PA

Addresses

Primary practice location

7912 Forest City Road
Forest City Specialtly Family, FL 32806

Mailing address

110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827

Other identifiers 1

IdentifierTypeStateIssuer
ME129968OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110000556 FL Practitioner - Psychiatry 7214082411 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD421717PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc CurrentSince Mar 20, 2023 Accepting new patients
Community Health Centers, Inc CurrentSince Mar 20, 2023 Accepting new patients
Tri County Psychiatric Associates, P.a. Psychiatry CurrentSince Jul 11, 2018 Accepting new patients
Community Health Centers, Inc. Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

101 E Miller St
Orlando, FL 32806
Phone (407) 246-6620

7900 Forest City Rd
Orlando, FL 32810
Phone 40790588271001

7912 Forest City Rd
Orlando, FL 32810
Phone (407) 988-1075

840 Mercy Dr
Pine Hills, FL 32808
Phone 4079058827 ext. 2997

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

110 S Woodland St
Winter Garden, FL 34787

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rani.abraham@chcfl.eclinicaldirectplus.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1821238114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-905-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 FOREST CITY ROAD",
            "city": "FOREST CITY SPECIALTLY FAMILY",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-905-8827",
            "fax_number": "407-209-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "RANI",
        "middle_name": "MANALOOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD421717",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD421717",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD421717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME129968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.