DR. CRAIG L ABRAMS PHD
NPI 1750367116
Psychologist in Sheboygan, WI
NPI Status: Active since December 19, 2005
Contact Information
615 S 8TH ST
STE G20
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 457-8866
Fax: (920) 457-8867
- Individual
- Male
- Psychologist
- Accepts Insurance
- PECOS Enrolled
About CRAIG ABRAMS
This page provides the complete NPI Profile along with additional information for Craig Abrams, a provider established in Sheboygan, Wisconsin with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1750367116 assigned on December 2005. The practitioner's primary taxonomy code is 103T00000X with license number 2110057 (WI). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1750367116
- Provider Name
- DR. CRAIG L ABRAMS PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081
- Location Phone
- (920) 457-8866
- Location Fax
- (920) 457-8867
- Mailing Address
- 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081
- Mailing Phone
- (920) 457-8866
- Mailing Fax
- (920) 457-8867
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2005
- Last Update Date
- 11-16-2011
- Code Navigator
A psychologist like Craig Abrams studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2110057
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
39132400 | MEDICAID (05) | WI | |
000684037 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI |
Medicare Participation & PECOS Enrollment Status
Craig Abrams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. CRAIG L ABRAMS PHD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 3 | 6 | 7 | 1 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 6 | 14 | 1 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 6 + 1 + 4 + 1 + 2 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1750367116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1326020629 | NORTHSHORE CLINIC OF SHEBOYGAN INC Organization | Clinic/Center (Adult Mental Health) | 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081 (920) 457-8866 |
1356327738 | MS. PATRICIA K CONNORS MA LCSW LMFT CADCIII Individual | Social Worker (Clinical) | 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081 (920) 457-8866 |
1225014699 | DR. RODNEY D FREEBORG PHD Individual | Psychologist | 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081 (920) 457-8866 |
1497731863 | MR. RALPH J RADEY JR. CADC III CRPS CCSG Individual | Counselor (Addiction (Substance Use Disorder)) | 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081 (920) 457-8866 |
1154307148 | DR. PATRICIA A HORN PHD Individual | Psychologist (Cognitive & Behavioral) | 615 S 8TH ST STE G 20 SHEBOYGAN, WI 53081 (920) 457-8866 |
1679559678 | MS. LISA S KERCHER PHD Individual | Psychologist (Cognitive & Behavioral) | 615 S 8TH ST STE G 20 SHEBOYGAN, WI 53081 (920) 457-8866 |
1750627139 | MRS. LYNN MARIE GEISER MS, MFT-IT, PC-IT Individual | Marriage & Family Therapist | 615 S 8TH ST SUITE 220 SHEBOYGAN, WI 53081 (920) 323-2188 |
1609112788 | KATHLEEN LINDSEY M.A., PC-IT Individual | Counselor (Professional) | 615 S 8TH ST STE. 220 SHEBOYGAN, WI 53081 (920) 323-2188 |
1376975136 | MS. LINDA WRIGHT SKOUG LPC Individual | Counselor (Professional) | 615 S 8TH ST SHEBOYGAN, WI 53081 (920) 323-7742 |
1003048158 | LEPAK-JOSTSONS, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 615 S 8TH ST STE 220 SHEBOYGAN, WI 53081 (920) 323-7431 |
1114340346 | LEAH M. BONDE-LANGENFELD MA Individual | Counselor (Professional) | 615 S 8TH ST SUITE 210 SHEBOYGAN, WI 53081 (920) 286-2203 |
1689989048 | CATHY J AUGUSTINE CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 615 S 8TH ST SHEBOYGAN, WI 53081 (920) 323-2188 |
1043680424 | NICOLE TERRIEN Individual | Counselor (Professional) | 615 S 8TH ST SUITE 210 SHEBOYGAN, WI 53081 (920) 323-7431 |
1669821583 | STACEY SCHIMBERG Individual | Counselor (Mental Health) | 615 S 8TH ST SHEBOYGAN, WI 53081 (920) 242-2510 |
1326498056 | CHRISTOPHER SCOTT BOWERS MA Individual | Counselor (Professional) | 615 S 8TH ST SHEBOYGAN, WI 53081 (920) 323-5504 |
1831431964 | LABOR OF LOVE CENTER Organization | Counselor (Mental Health) | 615 S 8TH ST STE 620 SHEBOYGAN, WI 53081 (920) 226-9599 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750367116, enumerated in the NPI registry as an "individual" on December 19, 2005
The provider is located at 615 S 8th St Ste G20 Sheboygan, Wi 53081 and the phone number is (920) 457-8866
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on December 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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