Debora M Esty, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6357 Issued in OH

Practice address

221 W Liberty St
Medina, OH 44256-2217

Phone

(330) 722-4166

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cornerstone Psychological & Counseling Services of Northeast Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medina, OH
  • NPI 1144612300
  Medicare reassignment NPD
• Family Statcare of Northeast Ohio, LLC

  • Nurse Practitioner
  • Wadsworth, OH
  • NPI 1053565986
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1730323684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTY",
        "first_name": "DEBORA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Espinosa de Los Monteros Escobedo, QMHS
• Masie Estep, LSW
• Jeffrey C Esterburg, D.M.D.
• Lisa M Esterle, D.O.
• Robin Estes, STNA
• Kathy A. Ettandip
• Anne Marie Eureka, LPTA
• Jeffrey Robert Evanko, D.M.D.
• Diane Elizabeth Evans
• Emily Elizabeth Evans

• Counseling Psychologist in Medina, OH
• Providers in Medina, OH by specialty
• Counseling Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.