Individual provider Active NPI

Deborah Lynn Dunphy, PH.D.

  • Counseling Psychologist
  • Mount Vernon, WA
National Provider Identifier
1538288691
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00003347 Issued in WA
Practice address
406 S 1St St
Ste 300
Mount Vernon, WA 98273-3897
Phone
(360) 588-4626
Fax
(360) 336-3270
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY00003347 WA Primary
Group Psychotherapy Psychologist 103TP2701X PY00003347 WA
Psychologist 103T00000X PY00003347 WA

Addresses

Primary practice location

406 S 1St St
Ste 300
Mount Vernon, WA 98273-3897

Mailing address

2411 N 24TH PL
Mount Vernon, WA 98273-5867
Phone (360) 982-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20071218000336 WA Practitioner - Clinical Psychologist 8628168382 Practice locations: Mount Vernon, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

406 S 1St St
Suite 300
Mount Vernon, WA 98273-3897
Phone (360) 588-4626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit Behavioral Health Past Accepting new patients
Compass Health Past Accepting new patients

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1538288691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N 24TH PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735867",
            "telephone_number": "360-982-2324",
            "fax_number": "360-336-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 1ST ST",
            "address_2": "STE 300",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733897",
            "telephone_number": "360-588-4626",
            "fax_number": "360-336-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNPHY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00003347",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WA",
            "license": "PY00003347",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.