Individual provider Active NPI

Nancy Gieseler Devor, PH.D.

  • Clinical Psychologist
  • Brewster, MA
National Provider Identifier
1801939178
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6644 Issued in MA
Practice address
74 Old Bog Rd
Brewster, MA 02631-1560
Phone
(617) 266-1358
NPI assigned
Feb 15, 2007
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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 6644 MA Primary

Addresses

Primary practice location

74 Old Bog Rd
Brewster, MA 02631-1560

Mailing address

74 Old Bog Rd
Brewster, MA 02631-1560
Phone (617) 266-1358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6644MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Boston University CurrentSince Oct 27, 2014 Accepting new patients
Trustees of Boston University CurrentSince Oct 27, 2014 Accepting new patients

Locations

185 Bay State Rd
Boston, MA 02215
Phone (617) 353-3047

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1801939178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 OLD BOG RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311560",
            "telephone_number": "617-266-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 OLD BOG RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311560",
            "telephone_number": "617-266-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOR",
        "first_name": "NANCY",
        "middle_name": "GIESELER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

Verify at the official NPI Registry.