Individual provider Active NPI

Deborah Christine Cheshire, PSY.D.

  • Clinical Psychologist
  • Spofford, NH
National Provider Identifier
1518110436
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00016 Issued in NH
Practice address
16 Scott Cir
Spofford, NH 03462-4631
Phone
(979) 422-6362
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00016 NH
Clinical Psychologist 103TC0700X 33886 TX
Clinical Psychologist 103TC0700X 00016 NH Primary

Addresses

Primary practice location

16 Scott Cir
Spofford, NH 03462-4631

Mailing address

16 Scott Cir
Spofford, NH 03462-4631
Phone (979) 691-3397

Other practice location 1

1600 University Dr E
College Station, TX 77840-2642
Phone (979) 691-3397 ext. 3017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20180905003071 NH Practitioner - Clinical Psychologist 7618034745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

372 W St
Suite 202
Keene, NH 03431-2412
Phone (802) 452-0241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00016NHMDPsychologist
33886TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah C. Cheshire, Psy.D, PLLC CurrentSince Dec 3, 2019 Accepting new patients

Locations

372 West St
Ste 202
Keene, NH 03431
Phone (802) 452-0241

372 West St
Ste 200
Keene, NH 03431
Phone (802) 452-0241

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1518110436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SCOTT CIR",
            "city": "SPOFFORD",
            "state": "NH",
            "postal_code": "034624631",
            "telephone_number": "979-691-3397",
            "fax_number": "979-691-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SCOTT CIR",
            "city": "SPOFFORD",
            "state": "NH",
            "postal_code": "034624631",
            "telephone_number": "979-422-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 University Dr E",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778402642",
            "country_code": "US",
            "telephone_number": "979-691-3397 x3017",
            "fax_number": "979-691-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESHIRE",
        "first_name": "DEBORAH",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "00016",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33886",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "00016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spofford, NH

Sources for this page

Verify at the official NPI Registry.