Beverly Ann Abraham, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013183 Issued in NY

Practice address

39 Grandview Avenue
Cornwall on Hudson, NY 12520-1217

Phone

(845) 534-4385

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Hollander Psychological Consulting PC

  • Clinical Psychologist
  • White Plains, NY
  • NPI 1760534481
  NPD (past)
• On-Site Psychological Services PC

  • Clinical Psychologist
  • Ridgefield, CT
  • NPI 1992807887
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1932246238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRANDVIEW AVENUE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201217",
            "telephone_number": "845-534-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GRANDVIEW AVENUE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201217",
            "telephone_number": "845-534-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01898448",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raffaela Acampora, M.S. CCC-SLP
• Jeanne Alessi, RN
• Awakenly LLC
• Teresa Caoili
• Sean Clode

• Clinical Psychologist in Cornwall on Hudson, NY
• Providers in Cornwall on Hudson, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.