Active NPI
Deanna S Pledge, PH.D.
- Clinical Psychologist
- Columbia, MO
National Provider Identifier
1326133927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY1868
- Practice address
- 1600 E. Broadway
Columbia, MO 65201 - Phone
- (573) 815-2020
- NPI assigned
- Oct 3, 2006
- Last updated
- May 24, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY1868 | MO | |
| Counseling Psychologist | 103TC1900X | 01868 | MO | |
| Clinical Psychologist | 103TC0700X | PY1868 | MO | Primary |
Addresses
Primary practice location
1600 E. Broadway
Columbia, MO 65201
Mailing address
1527 Saint Michael Drive
Columbia, MO 65203
Phone (573) 815-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20050131000084 | MO | Practitioner - Clinical Psychologist | 6103890082 | Practice locations: Columbia, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1868 | MO | MD | Psychologist |
| 01868 | MO | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Hub LLC | Past | Accepting new patients | |
| Deborah J Doxsee, PHD LLC | Clinical | Past | Accepting new patients |
| Counseling and Psychological Services LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Columbia, MO
- NPI 1528498334
-
- Professional Counselor
- Columbia, MO
- NPI 1093276784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1326133927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 SAINT MICHAEL DRIVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-815-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E. BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-815-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEDGE",
"first_name": "DEANNA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2024-05-24",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY1868",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "01868",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "PY1868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.