Organization Active NPI

Main Street Psychology

  • Clinical Psychologist
  • Watchung, NJ
National Provider Identifier
1043864663
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MAIN STREET PSYCHOLOGY
Practice address
10 Shawnee Dr Ste 9
Watchung, NJ 07069-5803
Phone
(908) 834-8080
Fax
(908) 901-9554
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Deborah I. Dawson, PSYDNPI 1811919616
Title
Psychologist/Owner
Phone
(908) 834-8080

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

10 Shawnee Dr Ste 9
Watchung, NJ 07069-5803

Mailing address

10 Shawnee Dr Ste 9
Watchung, NJ 07069-5803
Phone (908) 834-8080

Other names 1

  • Dawson Psychological Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240621000360 NJ Part B Supplier - Clinic/Group Practice 2062955842 Receives reassigned benefits from 1 practitioner
Practice locations: Watchung, NJ

National Provider Directory

National Provider Directory

Locations

291 Main St
Ste D
Chatham, NJ 07928

10 Shawnee Dr
Ste 9
Watchung, NJ 07069
Phone (908) 834-8080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1043864663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR STE 9",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-834-8080",
            "fax_number": "908-901-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR STE 9",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-834-8080",
            "fax_number": "908-901-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "908-834-8080",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawson Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.