Individual provider Active NPI

Deborah L. Haynor

  • Mental Health Counselor
  • Cambridge, MA
National Provider Identifier
1760582209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
102523 Issued in MA
Practice address
186 Hampshire St
Cambridge, MA 02139-1387
Phone
(617) 876-4488
Fax
(617) 876-0350
NPI assigned
Sep 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 102523 MA Primary

Addresses

Primary practice location

186 Hampshire St
Cambridge, MA 02139-1387

Mailing address

24 Whittier St
Cambridge, MA 02140-2606
Phone (617) 491-4279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050922000989 MA Practitioner - Clinical Social Worker 9335173913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Whittier St
Cambridge, MA 02140-2606
Phone (617) 947-6325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102523MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Haynor Psychotherapy and Collaboration LLC CurrentSince Apr 1, 2013 Accepting new patients

Locations

186 Hampshire St
Cambridge, MA 02139
Phone (617) 237-3700

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760582209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WHITTIER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402606",
            "telephone_number": "617-491-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HAMPSHIRE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391387",
            "telephone_number": "617-876-4488",
            "fax_number": "617-876-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNOR",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "102523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.