Active NPI
Deborah Moceri
- Counseling Psychologist
- Troy, MI
National Provider Identifier
1568918068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 630101782
- Practice address
- 1777 Axtell Dr
Suite 100
Troy, MI 48084-4404 - Phone
- (248) 613-5377
- NPI assigned
- Aug 25, 2016
- Last updated
- Aug 25, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401006979 | MI | |
| Counseling Psychologist | 103TC1900X | 630101782 | MI | Primary |
Addresses
Primary practice location
1777 Axtell Dr
Suite 100
Troy, MI 48084-4404
Mailing address
5353 Keswick CT
Rochester Hills, MI 48306-4918
Phone (248) 650-7999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401006979 | MI | MD | Counselor |
| 630101782 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1568918068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 KESWICK CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483064918",
"telephone_number": "248-650-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 AXTELL DR",
"address_2": "SUITE 100",
"city": "TROY",
"state": "MI",
"postal_code": "480844404",
"telephone_number": "248-613-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCERI",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401006979",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "630101782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
- Mobile Health Consultants PLLC
- Mobile Physicians Network of Michigan PC
- Mobility Plus Rehab Services Inc.
- Mobility Plus Rehab Services, Inc.
- Melissa Mobley, NP-C
- Dominic Christopher Moceri, PHD
- Nicholas Alan Mockeridge, RN
- Modern Autism Group, LLC (ModernAutism.com)
- Modern Rehabilitation and Family Practice PC
- Megan Modras, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.