NPI 1346498151 · live from the CMS NPI Registry
Michael Kelly Abbott, PsyD
Psychologist in Modesto, CA. National Provider Identifier 1346498151, active.
NPI record
| NPI | 1346498151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3300 Tully Rd Ste B6, Modesto, CA 95350 |
| Practice phone | 209-585-0555 |
| Mailing address | 9650 Zelzah Ave, Northridge, CA 91325 |
| Enumerated | September 4, 2008 |
| Last updated | September 12, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PSY27701 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.