Debe Enterprises Inc

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

DEBE ENTERPRISES INC

Practice address

1219 Edenville Drive
District Heights, MD 20747

Phone

(301) 336-1493

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tawana Dickerson Bynum

Title

Director

Phone

(301) 922-7208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1255176426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 EDENVILLE DRIVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "20747",
            "telephone_number": "301-336-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 EDENVILLE DRIVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "20747",
            "telephone_number": "301-336-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_middle_name": "DICKERSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-922-7208"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.