Individual provider Active NPI

Donald E. Deering Jr., PH.D.

  • Professional Counselor
  • Pontiac, MI
National Provider Identifier
1801954623
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007472 Issued in MI
Practice address
44555 Woodward Ave Ste 405
St. Joseph Mercy Oakland, Medical Office BLDG
Pontiac, MI 48341-5036
Phone
(248) 335-4010
NPI assigned
Dec 5, 2006
Last updated
Oct 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007472 MI Primary
Clinical Psychologist 103TC0700X 6301014127 MI

Addresses

Primary practice location

44555 Woodward Ave Ste 405
St. Joseph Mercy Oakland, Medical Office BLDG
Pontiac, MI 48341-5036

Mailing address

44555 Woodward Ave Ste 405
St. Joseph Mercy Oakland, Medical Office BLDG
Pontiac, MI 48341-5036
Phone (248) 335-4010

Other identifiers 2

IdentifierTypeStateIssuer
12691550OtherMICOUNCIL FOR AFFORDABLE QUALITY HEALTHCARE INDENTIFIER
F37791012OtherMIMEDICARE PROVIDER TRANSACTION ACCESS NUMBER

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401007472MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Psychiatric Associates PC PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1801954623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 405",
            "address_2": "ST. JOSEPH MERCY OAKLAND, MEDICAL OFFICE BLDG",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415036",
            "telephone_number": "248-335-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 405",
            "address_2": "ST. JOSEPH MERCY OAKLAND, MEDICAL OFFICE BLDG",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415036",
            "telephone_number": "248-335-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERING",
        "first_name": "DONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007472",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE INDENTIFIER",
            "identifier": "12691550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "F37791012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.