Individual provider Active NPI

Deborah L Stote, PH.D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1184875874
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32811 Issued in TX
Practice address
108 E Dean Keeton St
Psy RM 6.106
Austin, TX 78712-1043
Phone
(512) 232-5729
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 32811 TX
Addiction (Substance Use Disorder) Psychologist 103TA0400X 32811 TX
Cognitive & Behavioral Psychologist 103TB0200X 32811 TX
Clinical Psychologist 103TC0700X 32811 TX Primary

Addresses

Primary practice location

108 E Dean Keeton St
Psy RM 6.106
Austin, TX 78712-1043

Mailing address

108 E Dean Keeton St
Psy RM. 6.106
Austin, TX 78712-1043
Phone (512) 232-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32811TXMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1184875874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E DEAN KEETON ST",
            "address_2": "PSY RM. 6.106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121043",
            "telephone_number": "512-232-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E DEAN KEETON ST",
            "address_2": "PSY RM 6.106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121043",
            "telephone_number": "512-232-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTE",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "32811",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "32811",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "32811",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.