Debra Bachmura, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-008794-L Issued in PA

Practice address

1247 S Cedar Crest Blvd
Cics - Ste 100
Allentown, PA 18103-6298

Phone

(610) 770-1800

NPI assigned

Feb 7, 2017

Last updated

Mar 22, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West End Counseling and Wellness, LLCGroup PAC ID 2365794500, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West End Counseling & Wellness, LLC

  • Clinical Psychologist
  • Allentown, PA
  • NPI 1528547387
  Medicare reassignment Care Compare group NPD
• Children's Integrated Center for Success

  • Family Nurse Practitioner
  • Allentown, PA
  • NPI 1447670708
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1487192704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PERRY RD",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088012048",
            "telephone_number": "908-399-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD",
            "address_2": "CICS - STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036298",
            "telephone_number": "610-770-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Brookside Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069020",
            "country_code": "US",
            "telephone_number": "610-569-0252",
            "fax_number": "484-460-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHMURA",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-008794-L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-008794-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond David Babineau, PA-C
• Angelo A Baccala Jr., MD
• Carmit Bach
• Julia Bachman, PHARMD
• Rebekah Joy Bachman, PA-C
• Allison Bachstadt
• Emily Bachstadt
• Cody Owen Backenstoe, CRNA
• Joan Elyse Backenstoe, CRNA
• Nicole Angelina Badan

• Clinical Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.