Individual provider Active NPI

Debra Jean Early, PH.D.

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1649347329
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2006028096 Issued in MO
Practice address
6220 S Lindbergh Blvd
Suite 300
Saint Louis, MO 63123-7839
Phone
(314) 894-2900
Fax
(314) 894-2960
NPI assigned
Nov 29, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2006028096 MO Primary

Addresses

Primary practice location

6220 S Lindbergh Blvd
Suite 300
Saint Louis, MO 63123-7839

Mailing address

6220 S Lindbergh Blvd
Suite 300
Saint Louis, MO 63123-7839
Phone (314) 894-2900

Other names 1

  • Miss Debra Jean Singer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070302000268 MO Practitioner - Clinical Psychologist 3173625597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2642 Hwy 109
Suite E
Wildwood, MO 63040-1132
Phone (636) 821-3193

2642 Hwy 109 E
Wildwood, MO 63040-1132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006028096MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
D. Early, PH.D., Inc. CurrentSince Mar 14, 2011 Accepting new patients

Locations

6220 S Lindbergh Blvd
Ste 300
Saint Louis, MO 63123
Phone (314) 602-6650

2642 Highway 109
Ste E
Wildwood, MO 63040
Phone (636) 821-3193

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1649347329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-894-2900",
            "fax_number": "314-894-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-894-2900",
            "fax_number": "314-894-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006028096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SINGER",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.