NPIMap

Organization Active NPI

Deborah Berntson PHD

  • Psychologist
  • Fayetteville, NC
National Provider Identifier
1043647738
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1622 Issued in NC
Legal business name
DEBORAH BERNTSON PHD
Practice address
125 Olive Rd
Fayetteville, NC 28305-5064
Phone
(910) 797-3352
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Deborah Berntson, PH.D.
Title
Sole Proprietor
Phone
(910) 797-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1622 NC Primary

Addresses

Primary practice location

125 Olive Rd
Fayetteville, NC 28305-5064

Mailing address

125 Olive Rd
Fayetteville, NC 28305-5064

Other names 1

  • Deborah Berntson PhD LLP Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1043647738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLIVE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OLIVE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055064",
            "telephone_number": "910-797-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH BERNTSON PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "BERNTSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "910-797-3352",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deborah Berntson PhD LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.