Debra Nagy, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012709 Issued in MI

Practice address

30100 Telegraph Rd Ste 426
Bingham Farms, MI 48025-4518

Phone

(734) 558-8112

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1366592446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ROYAL TERN DR # 33950",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507642",
            "telephone_number": "734-558-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 426",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254518",
            "telephone_number": "734-558-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Royal Tern Dr # 33950",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339507642",
            "country_code": "US",
            "telephone_number": "734-558-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGY",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Second Home Pediatrics PLLC
• Kelly Jean Myers, PSY.D.
• Scott Myers, CRNA
• Rhiannon Joy Nadratowski
• Cynthia Nagel, CRNA
• Abed Naji, NP-C
• Aimee Shaji Nambiathusseril
• Adibe Nassar
• Yosra Nasser
• Victoria B Natale

• Clinical Psychologist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.