Deborah Haller, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9146 Issued in FL

Practice address

321 Dyer Rd
West Palm Beach, FL 33405-1219

Phone

(804) 502-9925

Fax

(804) 502-9925

NPI assigned

Jul 19, 2006

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• SLR Psychiatric Associates

  • General Acute Care Hospital
  • New York, NY
  • NPI 1164453312
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1336169978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 DYER ROAD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051737",
            "telephone_number": "804-502-9925",
            "fax_number": "804-502-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 DYER RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051219",
            "telephone_number": "804-502-9925",
            "fax_number": "804-502-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "DEBORAH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015827-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02532956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hal J Bashein DO PA
• Eugene Ward Hale II, A.P.
• Albert Hall
• Daliah Hall
• Mary Elizabeth Hall, M.S. CCC-SLP
• Mackenzie Halley, LCSW
• Jenny Lynn Halpin
• April Halsey, DPT
• Christopher B Hamilton-Glinton
• Cristine Elise Hamilton, APRN

• Clinical Psychologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.