Active NPI
Deborah Danielle Hale, PHD
- Clinical Psychologist
- Abilene, TX
National Provider Identifier
1487607917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32136
- Practice address
- 697 Louisiana Rd
Abilene, TX 79607-1141 - Phone
- (325) 696-5380
- Fax
- (325) 696-5579
- NPI assigned
- May 18, 2006
- Last updated
- Mar 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3-2136 | TX | |
| Clinical Psychologist | 103TC0700X | 32136 | TX | Primary |
Addresses
Primary practice location
697 Louisiana Rd
Abilene, TX 79607-1141
Mailing address
697 Louisiana Rd
Abilene, TX 79607-1141
Phone (325) 696-5380
Other practice location 1
12012 Wickchester Ln
Suite 550
Houston, TX 77079-1229
Phone (832) 448-2800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A5499 | Other | TX | BCBS |
| P00001604 | Other | TX | RAILROAD MEDICARE |
| 157191103 | Medicaid | TX | |
| P00001605 | Other | TX | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-2136 | TX | MD | Clinical Psychologist |
| 32136 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1487607917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 LOUISIANA RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796071141",
"telephone_number": "325-696-5380",
"fax_number": "325-696-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 LOUISIANA RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796071141",
"telephone_number": "325-696-5380",
"fax_number": "325-696-5579"
}
],
"practiceLocations": [
{
"address_1": "12012 Wickchester Ln",
"address_2": "Suite 550",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770791229",
"country_code": "US",
"telephone_number": "832-448-2800",
"fax_number": "832-448-2801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALE",
"first_name": "DEBORAH",
"middle_name": "DANIELLE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "3-2136",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8A5499",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00001604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157191103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00001605",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.