Individual provider Active NPI

Durdica Abramovic

  • School Psychologist
  • Greenwich, CT
National Provider Identifier
1992434922
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2977368 Issued in NY
Practice address
174 Davis Ave Apt 3a
Greenwich, CT 06830-6397
Phone
(203) 274-3615
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2901689766 CT
School Psychologist 103TS0200X 2977368 NY Primary

Addresses

Primary practice location

174 Davis Ave Apt 3a
Greenwich, CT 06830-6397

Mailing address

174 Davis Ave Apt 3a
Greenwich, CT 06830-6397
Phone (203) 274-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901689766CTMDSchool Psychologist
2977368NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1992434922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 DAVIS AVE APT 3A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306397",
            "telephone_number": "203-274-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DAVIS AVE APT 3A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306397",
            "telephone_number": "203-274-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOVIC",
        "first_name": "DURDICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CT",
            "license": "2901689766",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2977368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.