Deborah L Korn, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6048 Issued in MA

Practice address

240 Concord Ave
Suite 2
Cambridge, MA 02138-1337

Phone

(617) 492-5050

Fax

(617) 441-2590

NPI assigned

Jul 9, 2006

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

Other identifiers 1

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Jayme Shorin Licsw

  • Clinical Social Worker
  • Cambridge, MA
  • NPI 1245943943
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417980574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CONCORD AVE",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381337",
            "telephone_number": "617-492-5050",
            "fax_number": "617-441-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CONCORD AVE",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381337",
            "telephone_number": "617-492-5050",
            "fax_number": "617-441-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA PROVIDER NO.",
            "identifier": "0000W05639",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Konowitz
• Nicholas Kontos
• Lauren Sue Kopans, PH.D.
• Malia Renee Koppin, PT, DPT
• Janna Koretz, PSY.D
• Mariya A. Kornilova, NP
• Fiona Susan Koshy, CNP
• Katharine Kosinski, MD
• Trudi Beth Koslof, PSYD
• Gregory P Kosmidis, DMD

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, 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.