Active NPI
Deborah M. Thevenin, PH.D., LLC
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1003228032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4442
- Legal business name
- DEBORAH M. THEVENIN, PH.D., LLC
- Practice address
- 7685 SW 104TH St
Suite 100
Miami, FL 33156-3161 - Phone
- (305) 666-8000
- Fax
- (305) 666-4311
- NPI assigned
- May 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deborah Morrison Thevenin, PH.D.
- Title
- Managing Member
- Phone
- (305) 495-7603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4442 | FL | Primary |
Addresses
Primary practice location
7685 SW 104TH St
Suite 100
Miami, FL 33156-3161
Mailing address
1500 Bay Rd
Unit 716 South
Miami Beach, FL 33139-3252
Phone (305) 495-7603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376846295 | Other | FL | NPI TYPE 1 |
| FLPY4442 | Other | FL | FLORIDA STATE PSYCHOLOGIST LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Miami, FL
- NPI 1376846295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401062400000",
"number": "1003228032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BAY RD",
"address_2": "UNIT 716 SOUTH",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331393252",
"telephone_number": "305-495-7603",
"fax_number": "305-666-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7685 SW 104TH ST",
"address_2": "SUITE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563161",
"telephone_number": "305-666-8000",
"fax_number": "305-666-4311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH M. THEVENIN, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-26",
"last_updated": "2014-05-26",
"status": "A",
"authorized_official_last_name": "THEVENIN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "MORRISON",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "305-495-7603",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1376846295",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE PSYCHOLOGIST LICENSE",
"identifier": "FLPY4442",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.