Individual provider Active NPI

Deborah Catherine Uchalik, PH.D.

  • Clinical Neuropsychologist
  • Rancho Mirage, CA
National Provider Identifier
1720163124
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY6784 Issued in CA
Practice address
42370 Rancho Las Palmas Dr
Rancho Mirage, CA 92270-4371
Phone
(760) 346-4330
Fax
(760) 341-3774
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY6784 CA Primary
Psychologist 103T00000X PSY6784 CO

Addresses

Primary practice location

42370 Rancho Las Palmas Dr
Rancho Mirage, CA 92270-4371

Mailing address

71477 Estellita Dr
Rancho Mirage, CA 92270-4214
Phone (760) 346-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040308001417 CA Practitioner - Clinical Psychologist 0345138624 Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41750 Rancho Las Palmas Dr
Suite K 5
Rancho Mirage, CA 92270-5514
Phone (760) 346-4330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY6784COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1720163124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71477 ESTELLITA DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704214",
            "telephone_number": "760-346-4330",
            "fax_number": "760-341-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42370 RANCHO LAS PALMAS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704371",
            "telephone_number": "760-346-4330",
            "fax_number": "760-341-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHALIK",
        "first_name": "DEBORAH",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY6784",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY6784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.