Individual provider Active NPI

Deborah Lynn Story, PSY.D.

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1093909145
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004193 Issued in VA
Practice address
3500 Virginia Beach Blvd Ste 202
Virginia Beach, VA 23452-4445
Phone
(757) 720-1040
Fax
(757) 720-1041
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3109 NC
Clinical Psychologist 103TC0700X 1194 WV
Clinical Psychologist 103TC0700X 0810004193 VA Primary
Clinical Psychologist 103TC0700X 04485 MD

Addresses

Primary practice location

3500 Virginia Beach Blvd Ste 202
Virginia Beach, VA 23452-4445

Mailing address

3500 Virginia Beach Blvd Ste 202
Virginia Beach, VA 23452-4445
Phone (757) 720-1040

Other identifiers 1

IdentifierTypeStateIssuer
6000999MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170522001569 VA Practitioner - Clinical Psychologist 6103015318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04485MDMDClinical Psychologist
3109NCMDClinical Psychologist
1194WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Oasis LLC CurrentSince Sep 14, 2025 Accepting new patients
Center for Seeking Peace, PLLC CurrentSince Jan 10, 2025 Accepting new patients
D L Story & Associates PLLC Past Accepting new patients
Deborah L Story, PSYD, PLLC Clinical Past Accepting new patients

Locations

3500 Virginia Beach Blvd
Ste 202
Virginia Beach, VA 23452
Phone (757) 486-1300

5511 Princess Anne Rd
Ste 200
Virginia Beach, VA 23462
Phone (757) 704-4747

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1093909145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-720-1040",
            "fax_number": "757-720-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-720-1040",
            "fax_number": "757-720-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3109",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1194",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004193",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.