Deborah Lee Kirsten

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2 Regency PLZ Ste 3
Providence, RI 02903-3149

Phone

(401) 383-8198

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Deborah Lee Berry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Neuroperformance Group, L.L.C

  • Clinical Neuropsychologist
  • Providence, RI
  • NPI 1902329667
  NPD
• Neuroperformance of Rhode Island, LLC

  • Clinical Neuropsychologist
  • N Providence, RI
  • NPI 1740810548
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1124630488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NARRAGANSETT BAY AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028896611",
            "telephone_number": "928-607-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REGENCY PLZ STE 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033149",
            "telephone_number": "401-383-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSTEN",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BERRY",
            "middle_name": "LEE",
            "credential": "ED.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William John Kirkpatrick, MSW
• Ian A Kirkwood, MSW
• Erin Kirschner, CRNA
• Eileen M Kirshenbaum, RN
• Kirsten Hull MD
• Hannah Kisla, PHARMD, BCOP
• Tiffani Kisler
• Erin Kissinger
• Caroline J Kistin, MD
• Elise Marie Kiszla, MD

• Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.