Stephen T Deberry, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1773 Issued in NC

Practice address

12 1/2 Wall St
Asheville, NC 28801-2732

Phone

(828) 251-0985

Fax

(828) 251-1419

NPI assigned

Apr 8, 2006

Last updated

Jul 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1184687477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 1/2 WALL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012732",
            "telephone_number": "828-251-0985",
            "fax_number": "828-251-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 1/2 WALL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012732",
            "telephone_number": "828-251-0985",
            "fax_number": "828-251-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000005",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Deane, LPCA
• Anna Matilda Deangelis, LCSW
• Kaylee Dawn Deardorff, MD
• Misty M. Deason, CRNA
• Deaverview Family Care Home LLC
• Mary E Debeus, PH.D.
• Roger Johannes Debeus, PH.D.
• Jason L Deboer, D.C.
• Papillon Joel Martin Deboer, LCMHCS
• Nancy K Debord, LCSW

• Clinical Psychologist in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.