Active NPI
Debbie S Bates, PHD
- Clinical Psychologist
- Syracuse, NY
National Provider Identifier
1417031568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012732-1
- Practice address
- 892 E Brighton Ave
Syracuse, NY 13205-2542 - Phone
- (315) 559-2375
- Fax
- (313) 883-8311
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012732-1 | NY | Primary |
Addresses
Primary practice location
892 E Brighton Ave
Syracuse, NY 13205-2542
Mailing address
5800 Heritage Landing Dr Ste G2
East Syracuse, NY 13057-9378
Phone (315) 559-2375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111020000382 | NY | Practitioner - Clinical Psychologist | 0143492983 | Practice locations: Syracuse, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- State University of New York at Buffalo School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
892 E Brighton Ave
Syracuse, NY 13205-2542
Phone (315) 559-2375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012732 | NY | MD | Physical Therapist |
| 012732-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1417031568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 HERITAGE LANDING DR STE G2",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579378",
"telephone_number": "315-559-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "892 E BRIGHTON AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052542",
"telephone_number": "315-559-2375",
"fax_number": "313-883-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "DEBBIE",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012732-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.