Active NPI
Deborah Lynn Story, PSY.D.
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1093909145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000999 | Medicaid | NC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04485 | MD | MD | Clinical Psychologist |
| 3109 | NC | MD | Clinical Psychologist |
| 1194 | WV | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Oasis LLC | Current | Accepting new patients | |
| Center for Seeking Peace, PLLC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hampton, VA
- NPI 1376141234
-
- Psychologist
- Winton, NC
- NPI 1023426798
-
- Clinical Psychologist
- Winton, NC
- NPI 1659669851
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1366260150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.