Active NPI
Debra Ross, PSYCH
- Psychologist
- West Springfield, MA
National Provider Identifier
1588698393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7271
- Practice address
- 1132 Westfield St
West Springfield, MA 01089-3878 - Phone
- (413) 592-1980
- Fax
- (413) 439-0096
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7271 | MA | Primary |
Addresses
Primary practice location
1132 Westfield St
West Springfield, MA 01089-3878
Mailing address
15 Willow LN
Amherst, MA 01002-2626
Phone (413) 256-0494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-00271 | Other | MA | EVERCARE |
| 99001468 | Other | MA | RAIL ROAD 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 |
|---|---|---|---|
| 7271 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588698393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WILLOW LN",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022626",
"telephone_number": "413-256-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 WESTFIELD ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010893878",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DEBRA",
"credential": "PSYCH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "61-00271",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "99001468",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.