Leslie A. Abrams, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-003997 Issued in IL

Practice address

420 Lake Cook Rd Ste 113
Deerfield, IL 60015-4914

Phone

(847) 409-9461

NPI assigned

Dec 29, 2006

Last updated

Mar 4, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 7, 2022 through May 7, 2028

Medicare enrollment (NPD)

Not 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.

• Leslie Abrams, LTD

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1336896620
  NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1861558348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD STE 113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154914",
            "telephone_number": "847-409-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD STE 113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154914",
            "telephone_number": "847-409-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "016-73730",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A.E. Atta, DDS MSD, MD LTD.
• Aaron Marsh Counseling, Inc.
• Abcm Healthcare Services PLLC
• Nada Abdallah
• Daniel A Abrams, LCSW
• Lisa Y. Abrams, MD
• Jaclyn Abramson, LCPC
• Accelerated Rehabiliation Centers LTD (Athletico Physical Therapy)
• Accord Hospice, Inc.
• Allison D. Ackerman, PH.D.

• Clinical Psychologist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.