Asenath Anne Devaney, PH.D.
Individual provider Active NPI Psychologist · Butner, NC
NPI 1043692833 · NPPES record last updated Jun 29, 2015
Key facts
- NPI
- 1043692833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4447 (NC)
- Practice address
- 1003 12TH St
Butner, NC 27509-1626 - Phone
- (919) 575-7097
- Fax
- (919) 575-7895
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thriveworks Clinical - North Carolina PC
Practice addresses (Care Compare)
505 S Duke St
Suite 302
Durham, NC 27701-3199
Phone (855) 284-7483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211208000379 | NC | Practitioner - Clinical Psychologist | 0648660597 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4447 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - North Carolina PC | Current |
Accepting new patients |
Locations
119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112
505 S Duke St
Ste 302
Durham, NC 27701
Phone (571) 493-3535
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4447 | NC | Yes |
Addresses
Primary practice location
1003 12TH St
Butner, NC 27509-1626
Mailing address
1003 12TH St
Butner, NC 27509-1626
Phone (919) 575-7097
Other providers in Butner, NC
- Wilhelmina J.Griep De Marchi
- Adrienne Rose Dekay
- Alexa Danielle Delisle
- Jeffrey Lee Derry
- Anna Destino
- Nancy Di Maio
- Joel Andrew Dillon
- Cameron Allison Dubois
- Christine Dykeman
- Wendy Armore Edds
All providers in Butner, NC · Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.