Individual provider Active NPI

Deborah J.R.G. Warner, PH.D.

  • Clinical Psychologist
  • Littleton, NH
National Provider Identifier
1760694806
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
526 Issued in NH
Practice address
262 Cottage St
Suite 250
Littleton, NH 03561-4146
Phone
(603) 444-1512
Fax
(866) 599-7012
NPI assigned
May 3, 2007
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 526 NH Primary
Clinical Psychologist 103TC0700X 008686-1 NY

Addresses

Primary practice location

262 Cottage St
Suite 250
Littleton, NH 03561-4146

Mailing address

135 Rock Strain Dr
Littleton, NH 03561-4515
Phone (603) 444-1512

Other identifiers 9

IdentifierTypeStateIssuer
1059863OtherNHCIGNA
100083451OtherNHAPS HEALTHCARE EAP
12005OtherNHSSI NEW HAMPSHIRE
1003571MedicaidVT
0803381Y0NH01OtherNHBC NEW HAMPSHIRE
222684864OtherNHTRICARE
30426314MedicaidNH
6247OtherNHNH DCYF FOR 2110S
151149000OtherVTMAGELLAN VT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20060117000551 NH Practitioner - Clinical Psychologist 2769469915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Littleton, NH 03561
Phone (603) 444-1512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
526NHMDMental Health Counselor
008686-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Day Psychology PLLC Clinical CurrentSince May 16, 2001 Accepting new patients
Center for New Beginnings Clinical PastSince Jul 6, 2009 Accepting new patients

Locations

262 Cottage St
Ste 250
Littleton, NH 03561
Phone (603) 444-1512

Organizations & group practices 2

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1760694806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROCK STRAIN DR",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614515",
            "telephone_number": "603-444-1512",
            "fax_number": "866-599-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 COTTAGE ST",
            "address_2": "SUITE 250",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614146",
            "telephone_number": "603-444-1512",
            "fax_number": "866-599-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DEBORAH",
        "middle_name": "J.R.G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "526",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008686-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1059863",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE EAP",
            "identifier": "100083451",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSI NEW HAMPSHIRE",
            "identifier": "12005",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003571",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NEW HAMPSHIRE",
            "identifier": "0803381Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "222684864",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426314",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH DCYF FOR 2110S",
            "identifier": "6247",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN VT",
            "identifier": "151149000",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.