Individual provider Active NPI

Deborah Harris Reeves, PH.D.

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1780957324
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02147 Issued in MD
Practice address
133 Defense Hwy, Ste 213, Room 2
Annapolis, MD 21401-8907
Phone
(301) 938-8299
Fax
(240) 525-5687
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 02147 MD Primary

Addresses

Primary practice location

133 Defense Hwy, Ste 213, Room 2
Annapolis, MD 21401-8907

Mailing address

133 Defense Hwy
Ste 213, Room 2
Annapolis, MD 21401-8907
Phone (301) 938-8299

Other identifiers 1

IdentifierTypeStateIssuer
02147OtherMDLICENSE

Other names 1

  • Deborah Harris Former name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02147MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Connolly-Igoe, LLC CurrentSince Oct 1, 2022 Accepting new patients
Christian Counseling Center of Annapolis, Inc. Clinical PastSince Aug 1, 2000 Accepting new patients

Locations

49 Old Solomons Island Rd
Ste 200
Annapolis, MD 21401
Phone (410) 266-8555

133 Defense Hwy
Ste 213
Annapolis, MD 21401
Phone (410) 215-9122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1780957324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY",
            "address_2": "STE 213, ROOM 2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018907",
            "telephone_number": "301-938-8299",
            "fax_number": "240-525-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY, STE 213, ROOM 2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018907",
            "telephone_number": "301-938-8299",
            "fax_number": "240-525-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "DEBORAH",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "02147",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HARRIS",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.