Individual provider Active NPI

Dennis Michael Debiak, PSY.D.

  • Clinical Psychologist
  • Swarthmore, PA
National Provider Identifier
1023220571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008437L Issued in PA
Practice address
300 S Chester Rd
Suite 106
Swarthmore, PA 19081-1803
Phone
(610) 690-2442
Fax
(610) 499-4625
NPI assigned
May 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS008437L PA Primary

Addresses

Primary practice location

300 S Chester Rd
Suite 106
Swarthmore, PA 19081-1803

Mailing address

300 S Chester Rd
Suite 106
Swarthmore, PA 19081-1803
Phone (610) 690-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000808 PA Practitioner - Clinical Psychologist 8022034818 Practice locations: Swarthmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 S Chester Rd
Suite 106
Swarthmore, PA 19081-1803
Phone (610) 690-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS008437LPAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023220571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S CHESTER RD",
            "address_2": "SUITE 106",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811803",
            "telephone_number": "610-690-2442",
            "fax_number": "610-499-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CHESTER RD",
            "address_2": "SUITE 106",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811803",
            "telephone_number": "610-690-2442",
            "fax_number": "610-499-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBIAK",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008437L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

Verify at the official NPI Registry.