Deborea Williams Winfrey, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1015 Issued in NC

Practice address

122 N Spruce St
Winston Salem, NC 27101

Phone

(336) 774-3988

Fax

(336) 774-3989

NPI assigned

Sep 2, 2005

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McArre, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Winston Salem, NC
  • NPI 1831238419
  NPD (past) Authorized official
• McArre, Inc

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1902081748
  NPD (past) Authorized official
• Psycare of the Triad, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
  • NPI 1720099385
  NPD (past) Authorized official

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275527459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N SPRUCE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-774-3988",
            "fax_number": "336-774-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N SPRUCE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-774-3988",
            "fax_number": "336-774-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "DEBOREA",
        "middle_name": "WILLIAMS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "44407",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "00141648",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000596",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B Windsor
• Winford Brown Ramseur & Associates
• Latrina Devonne Winford, LPCS
• Mary C Winford
• Amanda Carringer Winfrey, MD
• Stephanie Ann Winfrey, MSN, NP-C
• William Brandon Winfrey, MD
• Robert Charles Wingate, DPM
• Valerie Denise Winkler, LCMHC, LCMHC-S, LPC
• John Winn Sr., RPH

• Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychologist in North Carolina

• 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.