Individual provider Active NPI

Deborah Treaster Kessler, PH.D.

  • Clinical Psychologist
  • Sunbury, OH
National Provider Identifier
1235508755
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4989 Issued in OH
Practice address
1448 Green Cook Rd
Sunbury, OH 43074-8707
Phone
(740) 972-6473
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4989 OH Primary

Addresses

Primary practice location

1448 Green Cook Rd
Sunbury, OH 43074-8707

Mailing address

1448 Green Cook Rd
Sunbury, OH 43074-8707
Phone (740) 972-6473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001978 OH Practitioner - Clinical Psychologist 5890095830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis and Evans LLCGroup PAC ID 1557600251, 6 clinicians

Practice addresses (Care Compare)

6457 Reflections Dr
Suite 120
Dublin, OH 43017-2352
Phone (614) 792-1108

717 Neil Ave
Westminster Thurber
Columbus, OH 43215-1609
Phone (614) 228-8888

National Provider Directory

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

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1235508755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 GREEN COOK RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748707",
            "telephone_number": "740-972-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 GREEN COOK RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748707",
            "telephone_number": "740-972-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "DEBORAH",
        "middle_name": "TREASTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

Verify at the official NPI Registry.