Deborah Dembo Aprn, LLC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

DEBORAH DEMBO APRN, LLC

Practice address

4 Straits Rd
Chester, CT 06412-1330

Phone

(860) 391-8659

NPI assigned

Sep 24, 2020

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Dembo, APRNNPI 1245346857

Title

Owner

Phone

(860) 391-8659

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Dembo, APRN

  • Adult Health Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1245346857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1114534187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STRAITS RD",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121330",
            "telephone_number": "860-391-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STRAITS RD",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121330",
            "telephone_number": "860-391-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH DEMBO APRN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "DEMBO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-391-8659",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester Board of Education
• Chester Hose Company Incorporated
• Chesterfields LTD.
• Eryka Clayton, CNS, MS
• Rosemarie G Cole, APRN
• Rebecca Lynn Degnan, LPC
• Pamela Gordon Dupont, M.S., CCC-A
• Magen Fortin, OTD, OTR/L
• Edward Freedman
• Joanna Giuliano

• Adult Psychiatric/Mental Health Registered Nurse in Chester, CT
• Providers in Chester, CT by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.