Individual provider Active NPI

Devora Tulcensky, PH.D.

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1336127810
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1999140486 Issued in MO
Practice address
7700 Clayton Rd
Suite 103
Saint Louis, MO 63117-1328
Phone
(314) 645-2055
Fax
(314) 644-6911
NPI assigned
Jan 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1999140486 MO Primary

Addresses

Primary practice location

7700 Clayton Rd
Suite 103
Saint Louis, MO 63117-1328

Mailing address

7700 Clayton Rd
Suite 103
Saint Louis, MO 63117-1328
Phone (314) 645-2055

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000037 MO Practitioner - Clinical Psychologist 0840193769 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 Jackson Ave
Saint Louis, MO 63130-4253
Phone (314) 753-3936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Dyer, Inc Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336127810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CLAYTON RD",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171328",
            "telephone_number": "314-645-2055",
            "fax_number": "314-644-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CLAYTON RD",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171328",
            "telephone_number": "314-645-2055",
            "fax_number": "314-644-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULCENSKY",
        "first_name": "DEVORA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "1999140486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.