Active NPI
Deborah Jean Dudley
- School Psychologist
- Fairbanks, AK
National Provider Identifier
1003747072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3372881
- Practice address
- 825 Oconnor Rd
Fairbanks, AK 99701-1575 - Phone
- (907) 378-6091
- NPI assigned
- May 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3372881 | NY | Primary |
Addresses
Primary practice location
825 Oconnor Rd
Fairbanks, AK 99701-1575
Mailing address
825 Oconnor Rd
Fairbanks, AK 99701-1575
Phone (907) 378-6091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3372881 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1003747072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 OCONNOR RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011575",
"telephone_number": "907-378-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OCONNOR RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011575",
"telephone_number": "907-378-6091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "3372881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.