Active NPI
Michelle T. Deering, ED.D.
- Psychologist
- Pittsboro, NC
National Provider Identifier
1770811606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4782
- Practice address
- 1463 Hamlets Chapel Rd
Pittsboro, NC 27312-8776 - Phone
- (732) 991-3918
- NPI assigned
- Dec 4, 2009
- Last updated
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35SI00454000 | Other | NJ | NEW JERSEY BOARD OF PSYCHOLOGICAL EXAMINERS |
| 4782 | Other | NC | THE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4782 | NC | MD | Mental Health Counselor |
| 35SI00454000 | NJ | MD | Psychologist |
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.