Debra Alexa Vincent, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14693 Issued in CA

Practice address

4195 N Viking Way
Suite 250
Long Beach, CA 90808-1466

Phone

(562) 254-1148

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1285777532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY",
            "address_2": "SUITE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081466",
            "telephone_number": "562-254-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY",
            "address_2": "SUITE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081466",
            "telephone_number": "562-254-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DEBRA",
        "middle_name": "ALEXA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "OPL146930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Viloria, OD
• Lauren Vina
• Chelsea Monique Vinas, MFT-A
• Vincent DO DDS Inc
• Cynthia J Vincent, RRT
• Jennifer Vinh, PA-C
• Brandon Philip Obero Vinzon
• Riza Alma Vinzon, NP
• Vincent Thomas Vinzon, PTA
• Lauren Elizabeth Viola

• Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.

Verify at the official NPI Registry.