DR. MACKENZIE ABRAHAM PHD
NPI 1881053833
Psychologist in Redondo Beach, CA

Active since February 18, 2016Opted out of Medicare · through Oct 15, 2026
1840 S ELENA AVE, SUITE 207, REDONDO BEACH, CA 90277(310) 363-1136 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mackenzie Abraham Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MACKENZIE ABRAHAM PHD (NPI 1881053833) is an individual psychologist in Redondo Beach, California, licensed in California (PSY26347) and active in the NPI registry since February 2016. She has opted out of Medicare through October 15, 2026.

NPPES Registry Identity

NPI1881053833
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MACKENZIE ABRAHAMCredential: PHD
Location Address1840 S ELENA AVE, SUITE 207Redondo Beach, CA 90277-5703
Mailing AddressPo Box 730Manhattan Beach, CA 90267-0730
Sole ProprietorYes
Enumeration DateFebruary 18, 2016
NPI 1881053833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY26347
Definition
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.
1840 S ELENA AVE, Redondo Beach, CA 90277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Mackenzie Abraham Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024
Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1840 S ELENA AVE, #205
REDONDO BEACH, CA 90277
Psychologist
1840 S ELENA AVE, SUITE 207
REDONDO BEACH, CA 90277
Counselor (Addiction (Substance Use Disorder))
1840 S ELENA AVE, SUITE 207
REDONDO BEACH, CA 90277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Abraham's NPI number?

The NPI number for Mackenzie Abraham is 1881053833. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is Mackenzie Abraham located?

Mackenzie Abraham practices at 1840 S Elena Ave Suite 207, Redondo Beach, CA 90277. The listed phone number is (310) 363-1136.

What is Mackenzie Abraham's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mackenzie Abraham enrolled in Medicare?

No. Mackenzie Abraham has opted out of Medicare through October 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mackenzie Abraham was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.