NPIMap

Individual provider Active NPI

Debra Denise Deblanc

  • Addiction (Substance Use Disorder) Psychologist
  • Dayton, OH
National Provider Identifier
1356615371
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
080774 Issued in OH
Practice address
1443 Steiner Ave
Dayton, OH 45417-3813
Phone
(937) 754-0528
NPI assigned
Mar 8, 2012
Last updated
May 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 080774 OH
Pastoral Counselor 101YP1600X ORDAINED OH
Addiction (Substance Use Disorder) Psychologist 103TA0400X 080774 OH Primary

Addresses

Primary practice location

1443 Steiner Ave
Dayton, OH 45417-3813

Mailing address

1443 Steiner Ave
Dayton, OH 45417-3813
Phone (937) 754-0528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ORDAINEDOHMDPastoral Counselor
080774OHMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resources of Enduring Hope Outreach Programs and Education, Inc. Counselor Past Accepting new patients
Resources of Enduring Hope Outreach Program and Education, Inc. Counselor Past Accepting new patients

Organizations & group practices 2

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1356615371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 STEINER AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173813",
            "telephone_number": "937-754-0528",
            "fax_number": "937-754-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 STEINER AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173813",
            "telephone_number": "937-754-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLANC",
        "first_name": "DEBRA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "080774",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OH",
            "license": "ORDAINED",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "080774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.