MRS. JENNIFER ALPHONSO ABRAHAM (NPI# 1558650564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558650564 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ALPHONSO ABRAHAM |
| Credential | PH.D. |
| Practice Address |
707 N Broadway Kennedy Krieger Institute Baltimore MD 21205-1832 |
| Mailing Address |
2931 E Biddle St Patient Accounting Baltimore MD 21213-3939 |
| Practice Telephone | 4439239400 |
| Practice Fax Number | 4439239405 |
| Mailing Telephone | 4439231870 |
| Mailing Fax Number | 4439231895 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 04769 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173803 | Jennifer Abraham | Occupational Therapist | 653 Drexel Rd, Paramus, NJ 07652-4907 | 2020-08-02 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
| 1295944619 | Jennifer Abraham | Dentist | 193 Green Bay Rd, Thiensville, WI 53092-1603 | 2007-05-22 |
| 1285650259 | Jennifer Jane Abraham | Internal Medicine | 3838 San Dimas St Ste A100, Bakersfield, CA 93301-2286 | 2006-07-14 |
| 1417580739 | Jennifer Lynn Abraham | Peer Specialist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2020-02-14 |
| 1184175127 | Jennifer Abraham | Social Worker | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2016-10-14 |
| 1801235379 | Jennifer Abraham | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1063796662 | Jennifer Ann Abraham | Pharmacist | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2011-10-01 |
| 1699092320 | Jennifer Abraham | Residential Treatment Facility, Emotionally Disturbed Children | 4601 N I-35, Denton, TX 76207-3419 | 2010-04-20 |
| Street Address |
707 N BROADWAY KENNEDY KRIEGER INSTITUTE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370235 | Rebecca L Kern | Genetic Counselor, MS | 707 N Broadway, Baltimore, MD 21205-1832 | 2005-10-18 |
| 1841898640 | Rachel Anderson | Speech-Language Pathologist | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-10-14 |
| 1841807070 | Elizabeth Wilkins | Physical Therapist | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-10-01 |
| 1184237554 | Bridget Fulford | Social Worker | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-08-26 |
| 1669085379 | Samuel Joseph Eckrich | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1888 | 2020-08-24 |
| 1356952980 | Catherine Byrne | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-08-17 |
| 1679183651 | Biji Philip | Speech-Language Pathologist | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-08-05 |
| 1619592565 | Emily Mathis | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-06-16 |
| 1184249161 | Seungeun Lee | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-06-15 |
| 1699399493 | Margaret Bernheim Powell | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020543 | Virginia Samford Hornbeck | Psychologist | 1400 W Cold Spring Ln, Baltimore, MD 21209-4904 | 2019-06-04 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1891218947 | Sahar Moise | Psychologist | 1708 West Rogers Avenue, Baltimore, MD 21209-4596 | 2017-07-20 |
| 1447787734 | Brittany Renee Patterson | Psychologist | 737 West Lombard St., Baltimore, MD 21201-2120 | 2017-05-17 |
| 1861845224 | Andrea Goddard | Psychologist | 720 Aliceanna Street, Baltimore, MD 21202 | 2016-07-20 |
| 1164870614 | Shauna Lynne | Psychologist | 1750 E Fairmount Ave Fl 4, Baltimore, MD 21231-1534 | 2016-05-25 |
| 1073985081 | Denise Bike | Psychologist | 600 Wyndhurst Ave Ste 200-a, Baltimore, MD 21210-2489 | 2015-10-29 |
| 1982087003 | Rachel Cymber Lafleur | Psychologist | 711 W 40th St # 153-363, Baltimore, MD 21211-2120 | 2015-07-07 |
| 1346639713 | Eboka Mullins | Psychologist | 419 W Redwood St Ste 570, Baltimore, MD 21201-7023 | 2015-01-22 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.