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Dr. Michael Kelly Abbott , PsyD

Psychologist β€’ Modesto, CA

Active NPI 1346498151 Individual Practitioner Male Practitioner
Practice location in NPPES

3300 Tully Rd Ste B6
Modesto, CA 953500848

Call 2095850555 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3300 Tully Rd Ste B6

Modesto, CA 953500848

Telephone 2095850555
Organization at the Same NPPES Address or Phone
Hopenet Community Counseling A Licensed Clinical Social Worker Co Facility NPI 1992453922

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Modesto and California

22 active clinicians are listed under Psychologist with a practice address in Modesto, CA (7,305 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Modesto

9.1% of these 22 clinicians have the CMS telehealth indicator.

13.6% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-12
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA PSY27701

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 12, 2022

Registered at 3300 TULLY RD STE B6, MODESTO, CA 953500848 (Tel: 2095850555)

πŸ‘€
Provider Name / Credentials Updated September 12, 2022

Recorded as MICHAEL ABBOTT, PSYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Psychologist (license number reported to NPPES: CA PSY27701)

βœ…
NPI Profile Active September 04, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 04, 2008

Registered at 9650 ZELZAH AVE, NORTHRIDGE, CA 913252003 (Tel: 8189939311)

πŸ“
Business Mailing Address (Initial Record) September 04, 2008

Registered at 9650 ZELZAH AVE, NORTHRIDGE, CA 913252003

πŸ‘€
Provider Name / Credentials (Initial Record) September 04, 2008

Recorded as MICHAEL ABBOTT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2008

Counselor

🟒
Initial NPI Registration & Enumeration September 04, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346498151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2008
Last Update: September 12, 2022
Sole Proprietor: Yes

Mailing Address

9650 Zelzah Ave

Northridge, CA 913252003

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.