Deborah Manzano, PSY. D.

Key facts

NPI

1295895332

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

3470 (CT)

Practice address

121 East St
Hebron, CT 06248-1346

Phone

(860) 266-7759

Fax

(860) 797-2430

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 9

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

• Within Your Sight, LLC Clinical Psychologist · Hebron, CT · NPI 1295505162
  Medicare reassignment NPD Authorized official CLINICAL · CT
• Charter Oak Health Center, Inc. Federally Qualified Health Center (FQHC) · Hartford, CT · NPI 1992750855
  Medicare reassignment NPD CT · SINGLE SPECIALTY
• Community Health Resources, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Windsor, CT · NPI 1215979810
  Medicare reassignment NPD CT · SINGLE SPECIALTY
• Middlesex Hospital General Acute Care Hospital · Middletown, CT · NPI 1760454334
  Medicare reassignment NPD CT · SINGLE SPECIALTY
• Charter Oak Health Center, Inc. Federally Qualified Health Center (FQHC) · Hartford, CT · NPI 1841937679
  NPD
• Middlesex Hospital Community Based Hospice Care Agency · Middletown, CT · NPI 1003873233
  NPD
• Middlesex Hospital Psychiatry Physician · Middletown, CT · NPI 1760451041
  NPD CLINICAL
• Middlesex Hospital Family Medicine Physician · Middletown, CT · NPI 1851350664
  NPD SINGLE SPECIALTY
• Brightside Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Springfield, MA · NPI 1093709370
  NPD (past) SINGLE SPECIALTY

Medicare Care Compare profile

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 2, 2024.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1295895332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EAST ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481346",
            "telephone_number": "860-266-7759",
            "fax_number": "860-797-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EAST ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481346",
            "telephone_number": "860-266-7759",
            "fax_number": "860-797-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3470",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

• Julie Beth Kniess, N.D.
• Jeffrey M Kraman, D.D.S.
• Laura Landry, PHARM.D, RPH
• Live Well Coaching Inc
• Manual Medicine of New England, LLC
• Angela Jane Mawson, DC
• Kathleen Monroe, M.A. CCC-SLP
• Jessica Ann Montalvo, MD
• Jill E. Moorcroft, D.O.
• Thomas A Moorcroft, D.O.

All providers in Hebron, CT · Clinical Psychologist in Connecticut