NPIMap

Organization Active NPI

Debra H. Cole, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Danville, PA
National Provider Identifier
1710547013
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
DEBRA H. COLE, PH.D.
Practice address
1116 Mill St Ste 102
Danville, PA 17821-1078
Phone
(570) 490-0075
Fax
(570) 271-1995
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Debra ColeNPI 1922347590
Title
Clinical Child Psychologist
Phone
(570) 490-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

1116 Mill St Ste 102
Danville, PA 17821-1078

Mailing address

1116 Mill St Ste 102
Danville, PA 17821-1078
Phone (570) 490-0075

Other identifiers 1

IdentifierTypeStateIssuer
1027911860001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dcole275@ptd.net Direct

National Provider Directory

National Provider Directory

Locations

1116 Mill St
#102
Danville, PA 17821
Phone (570) 490-0075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1710547013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 MILL ST STE 102",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211078",
            "telephone_number": "570-490-0075",
            "fax_number": "570-271-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 MILL ST STE 102",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211078",
            "telephone_number": "570-490-0075",
            "fax_number": "570-271-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA H. COLE, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CLINICAL CHILD PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-490-0075"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027911860001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dcole275@ptd.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1116 Mill St Ste 102",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178211078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.