Deborah Morrison Thevenin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY4442 Issued in FL

Practice address

7685 SW 104TH St
Suite 100
Miami, FL 33156-3161

Phone

(305) 666-8000

NPI assigned

Dec 15, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Deborah M. Thevenin, PH.D., LLC

  • Clinical Psychologist
  • Miami, FL
  • NPI 1003228032
  NPD (past) Authorized official

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1376846295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BAY RD",
            "address_2": "UNIT 716 SOUTH",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393252",
            "telephone_number": "305-495-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 SW 104TH ST",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563161",
            "telephone_number": "305-666-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEVENIN",
        "first_name": "DEBORAH",
        "middle_name": "MORRISON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY4442",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "PSY4442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Miami, FL
• Providers in Miami, 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 15, 2010; 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.