Debra L Aubrey, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-202099 Issued in ID

Practice address

1070 Hiline Road
Ste 250
Pocatello, ID 83201-2955

Phone

(208) 742-6400

Fax

(208) 742-6444

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accessible Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1932845781

  Clinical

  Medicare reassignment NPD Authorized official
• Mental Health Specialists

  • Clinical Social Worker
  • Chubbuck, ID
  • NPI 1548585458
  Medicare reassignment NPD
• Unbound Counseling Services, Inc.

  • Clinical Social Worker
  • Pocatello, ID
  • NPI 1528717022
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1063424448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 HILINE ROAD",
            "address_2": "STE 250",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012955",
            "telephone_number": "208-742-6400",
            "fax_number": "208-742-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HILINE ROAD",
            "address_2": "STE 250",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012955",
            "telephone_number": "208-742-6400",
            "fax_number": "208-742-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBREY",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-202099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Athens, DO
• Cheri L. Atkins
• Atlas Bracing LLC
• Atlas Performance Rehab PC
• Atropos Mental Health LLC
• Garren Richard Aubrey, LMSW
• Taylor Erin Augustine
• Aurora Medical
• KC Austin, MOT, OTR/L
• Takoda Averett

• Psychologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.