Deborah A Bastedo, LLP, LPC, NCC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011762 Issued in MI

Practice address

52188 Van Dyke Ave
Ste 300
Shelby Township, MI 48316-3567

Phone

(586) 803-1583

Fax

(248) 682-7486

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245259548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 PELHAM BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284262",
            "telephone_number": "248-787-3916",
            "fax_number": "248-682-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE",
            "address_2": "STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163567",
            "telephone_number": "586-803-1583",
            "fax_number": "248-682-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTEDO",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "LLP, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "287751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "2544866D1A",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Ann Jeanette Bartnik, DDS
• Anjuli Nameer Basilisco
• Krista A Bassett, D.C.
• Mark Andrew Bassett, D.C.
• Michael Bassil
• Ourania Bastounis
• Rachel Batten
• Christopher Allen Baubie
• Gina Michelle Bausano
• Kristin Marie Baxter

• Psychologist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.