Debra Marie Failla, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018181 Issued in NY

Practice address

260 Main Street
Suite 202
Northport, NY 11768

Phone

(631) 784-7761

NPI assigned

Dec 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caremed Primary and Urgent Care PC

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1487050134
  NPD (past)
• New Beginnings Psychology, LLC.

  • Psychologist
  • Huntington, NY
  • NPI 1689872608
  NPD (past)

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1679938252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAIN STREET",
            "address_2": "SUITE 202",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAIN STREET",
            "address_2": "SUITE 202",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-784-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey E Enright, MT-BC
• Marina Erato
• Janet Ellen Eschen, PH.D.
• Joan E Ettinger, CASAC
• Setareh Leila Evans
• Lynne Fain, LCSW
• Family Solutions of Long Island Inc
• Allison Farrell
• Linda Frances Fazio, PH.D.
• Peter Fazio, R.N.

• Clinical Psychologist in Northport, NY
• Providers in Northport, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.