Active NPI
Deborah Sue McDermott, PH.D.
- Psychologist
- Adel, IA
National Provider Identifier
1588993448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001094
- Practice address
- 309 S 7TH St
Suite C
Adel, IA 50003-1838 - Phone
- (641) 431-1325
- NPI assigned
- Dec 23, 2009
- Last updated
- Apr 4, 2010
- 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 | 001094 | IA | Primary |
Addresses
Primary practice location
309 S 7TH St
Suite C
Adel, IA 50003-1838
Mailing address
4904 Cypress LN
Panora, IA 50216-8623
Phone (641) 431-1325
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Adel, IA
- NPI 1548587918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270339200000",
"number": "1588993448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 CYPRESS LN",
"city": "PANORA",
"state": "IA",
"postal_code": "502168623",
"telephone_number": "641-431-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S 7TH ST",
"address_2": "SUITE C",
"city": "ADEL",
"state": "IA",
"postal_code": "500031838",
"telephone_number": "641-431-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "DEBORAH",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2010-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "001094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adel, IA
- Jodi Kay Kuhse, D.C.
- Michelle Leguerrier, RN
- Luellen Chiropractic, LLC
- Rachel Nelson Matta, D.D.S.
- Maximum Physical Therapy, LLC (Maximum Physical Therapy)
- Mercy Clinics, Inc (Mercy Adel Medical Clinic)
- Bryce Andrew Miller, DC
- Samantha Anne Miller
- Taylor Victoria Miller, DC
- Suzanne Elizabeth Morton-Miller, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.