Active NPI
Deborah Lynne Block, PH.D.
- Clinical Psychologist
- Jamaica Plain, MA
National Provider Identifier
1609898097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6482
- Practice address
- 7 Harris Ave
Jamaica Plain, MA 02130-2888 - Phone
- (617) 522-3911
- NPI assigned
- Jul 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6482 | MA | Primary |
Addresses
Primary practice location
7 Harris Ave
Jamaica Plain, MA 02130-2888
Mailing address
7 Harris Ave
Jamaica Plain, MA 02130-2888
Phone (617) 522-3911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W10457 | Other | MA | BLUE CROSS BILLING ID |
| DBW05161 | Other | MA | B. CROSS IND. PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061218000031 | MA | Practitioner - Clinical Psychologist | 0749289924 | Practice locations: Jamaica Plain, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7 Harris Ave
Jamaica Plain, MA 02130-2888
Phone (617) 522-3911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6482 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609898097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HARRIS AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302888",
"telephone_number": "617-522-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HARRIS AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302888",
"telephone_number": "617-522-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "DEBORAH",
"middle_name": "LYNNE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BILLING ID",
"identifier": "W10457",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B. CROSS IND. PROVIDER ID",
"identifier": "DBW05161",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.