Penny Michelle Abrams, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20753 Issued in CA

Practice address

550 SE Mizner Blvd Apt B206
Boca Raton, FL 33432-5581

Phone

(713) 906-9057

Fax

(623) 236-9484

NPI assigned

Nov 3, 2006

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Penny Michele Abrams PHD

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1518404086
  NPD Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1851470504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334290457",
            "telephone_number": "713-906-9057",
            "fax_number": "623-236-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE MIZNER BLVD APT B206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325581",
            "telephone_number": "713-906-9057",
            "fax_number": "623-236-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "PENNY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31110",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57LV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varkey Abraham, PA
• Samuel Abramovitz, M.D.
• Sarina Miriam Abramowitz, RMHCI
• Alisha Abrams, APRN, FNP-C
• Chaz Imairi Abrams, PTA
• Shadeen Abrams
• Sthervelie Abrego
• Adriana Abreu
• Angie M Abreu
• Julian Alfonso Abruna Miranda, MD

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.