Active NPI
Deborah K. Tyson, PHD
- Counseling Psychologist
- Miami, FL
National Provider Identifier
1275517005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY4181
- Practice address
- 7700 North Kendall Drive
Suite 413
Miami, FL 33156-7565 - Phone
- (305) 595-8225
- Fax
- (305) 596-6947
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4181 | FL | |
| Counseling Psychologist | 103TC1900X | PY4181 | FL | Primary |
Addresses
Primary practice location
7700 North Kendall Drive
Suite 413
Miami, FL 33156-7565
Mailing address
9021 SW 94 Street
Apt 208
Miami, FL 33176-2311
Phone (305) 595-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73459 | Other | FL | BCBS |
Other names 1
- Ms. Deborah Tyson Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100311000716 | FL | Practitioner - Clinical Psychologist | 6002941317 | Practice locations: Miami, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Miami, LM Miller School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9021 SW 94TH St
Apt 208
Miami, FL 33176-2112
Phone (305) 595-8225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY4181 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1275517005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9021 SW 94 STREET",
"address_2": "APT 208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762311",
"telephone_number": "305-595-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 NORTH KENDALL DRIVE",
"address_2": "SUITE 413",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567565",
"telephone_number": "305-595-8225",
"fax_number": "305-596-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "DEBORAH",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4181",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY4181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "73459",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "RODRIGUEZ",
"middle_name": "TYSON",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.