Mary Ellen Irene Debiase, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6485 Issued in MA

Practice address

4 S Main St
Suite 3
Ipswich, MA 01938-2345

Phone

(978) 356-0027

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386772440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-356-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-356-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBIASE",
        "first_name": "MARY ELLEN",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew P. Curtin, D.M.D.
• CVS Pharmacy, Inc. (CVS Pharmacy #10017)
• Paul M Dancewicz, BS PT
• Margery Daniels, LICSW
• Ellen J De Rosa, PT
• Michael Derosa, PHARM D
• Gaelyn Destino, RN, BSN, CLC
• Susan Devost, M.A.
• Dina M Difluri, MSPT
• Allison Doucette

• Clinical Psychologist in Ipswich, MA
• Providers in Ipswich, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.