Individual provider Active NPI

Michelle T. Deering, ED.D.

  • Psychologist
  • Pittsboro, NC
National Provider Identifier
1770811606
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4782 Issued in NC
Practice address
1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776
Phone
(732) 991-3918
NPI assigned
Dec 4, 2009
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00454000 NJ
Psychologist 103T00000X 4782 NC Primary

Addresses

Primary practice location

1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776

Mailing address

2705 Elk Knob TRL
Apex, NC 27502-8568
Phone (732) 991-3918

Other practice location 1

8 Lafayette St
New Brunswick, NJ 08901-1439
Phone (732) 932-7884

Other practice location 2

1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776
Phone (732) 991-3918

Other practice location 3

1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776
Phone (732) 991-3918

Other practice location 4

1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776
Phone (732) 991-3918

Other practice location 5

1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776
Phone (732) 991-3918

Other identifiers 2

IdentifierTypeStateIssuer
35SI00454000OtherNJNEW JERSEY BOARD OF PSYCHOLOGICAL EXAMINERS
4782OtherNCTHE NORTH CAROLINA PSYCHOLOGY BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4782NCMDMental Health Counselor
35SI00454000NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1770811606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 ELK KNOB TRL",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028568",
            "telephone_number": "732-991-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 HAMLETS CHAPEL RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128776",
            "telephone_number": "732-991-3918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011439",
            "country_code": "US",
            "telephone_number": "732-932-7884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 Hamlets Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128776",
            "country_code": "US",
            "telephone_number": "732-991-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 Hamlets Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128776",
            "country_code": "US",
            "telephone_number": "732-991-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 Hamlets Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128776",
            "country_code": "US",
            "telephone_number": "732-991-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 Hamlets Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128776",
            "country_code": "US",
            "telephone_number": "732-991-3918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERING",
        "first_name": "MICHELLE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00454000",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF PSYCHOLOGICAL EXAMINERS",
            "identifier": "35SI00454000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE NORTH CAROLINA PSYCHOLOGY BOARD",
            "identifier": "4782",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

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