Active NPI
Debra Sue Knight, PH.D.
- Clinical Psychologist
- Cape Girardeau, MO
National Provider Identifier
1144302522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- R0370
- Practice address
- 2711 Thomas Dr
Suite #205
Cape Girardeau, MO 63701-2131 - Phone
- (573) 651-0122
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | R0370 | MO | Primary |
Addresses
Primary practice location
2711 Thomas Dr
Suite #205
Cape Girardeau, MO 63701-2131
Mailing address
2711 Thomas Dr
Suite #205
Cape Girardeau, MO 63701-2131
Phone (573) 651-0122
Other names 1
- Debra Rau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Clinical | Current | Accepting new patients |
Locations
1300 County Farm Rd
Cassville, MO 65625
Phone (417) 847-3386
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 1
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": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1144302522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 THOMAS DR",
"address_2": "SUITE #205",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012131",
"telephone_number": "573-651-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 THOMAS DR",
"address_2": "SUITE #205",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012131",
"telephone_number": "573-651-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "DEBRA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "R0370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "RAU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cape Girardeau, MO
- Jordan Demaris Klaffer, MA, PLPC
- Christopher Ryan Kline, ATC
- Teri Kluesner, LCSW
- Stacy R Klusmeier, MA, BCBA, LBA
- Katherine May Knaup, ED.S
- Patrick Revere Knight, MD
- KNL Prescriptions LLC (Broadway Pharmacy)
- Leslie Hannah Faith Knott, LCSW, CRAADC
- Jeannie Marie Knotts, N.P.
- Gina Lorraine Koch, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.