Abrams Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3936 Issued in NJ

Legal business name

ABRAMS PSYCHOLOGICAL SERVICES

Doing business as

Learned Excellence for Athletes

Practice address

620 Tinton Ave
Building. a, Suite 203
Tinton Falls, NJ 07724-3260

Phone

(917) 887-5206

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitch Abrams, PSY.D.

Title

Psychologist/Principal

Phone

(917) 887-5206

Specialties & licenses 3

Addresses

Other names 1

• Learned Excellence for Athletes Doing business as

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1912327545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TINTON AVE",
            "address_2": "BUILDING. A, SUITE 203",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243260",
            "telephone_number": "917-887-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TINTON AVE",
            "address_2": "BUILDING. A, SUITE 203",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243260",
            "telephone_number": "917-887-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAMS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRINCIPAL",
        "authorized_official_telephone_number": "917-887-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3936",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NJ",
            "license": "3936",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NJ",
            "license": "3936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Learned Excellence for Athletes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.