Deborah Abdulrahim
Individual provider Active NPI Psychologist · East Cleveland, OH
NPI 1861105751 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1861105751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- CL1007879 (OH)
- Practice address
- 16204 Oakhill Rd
East Cleveland, OH 44112-3540 - Phone
- (216) 406-8861
- NPI assigned
- Jan 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CL1007879 | OH | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Psychologist | 103T00000X | CL1007879 | OH | Yes |
Addresses
Primary practice location
16204 Oakhill Rd
East Cleveland, OH 44112-3540
Mailing address
16204 Oakhill Rd
East Cleveland, OH 44112-3540
Other providers in East Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.