Individual provider Active NPI

Deborah Anne Clelland, MPS

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1447513288
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199917 Issued in NY
Practice address
20 Cedar St Ste 302
New Rochelle, NY 10801-5250
Phone
(914) 576-5292
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 199917 NY Primary

Addresses

Primary practice location

20 Cedar St Ste 302
New Rochelle, NY 10801-5250

Mailing address

20 Cedar Street Suite 302
New Rochelle, NY 10801-1404
Phone (914) 576-5292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
199917NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1447513288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR STREET SUITE 302",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011404",
            "telephone_number": "914-576-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST STE 302",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015250",
            "telephone_number": "914-576-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLELLAND",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "199917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.