Active NPI
Donald E. Deering Jr., PH.D.
- Professional Counselor
- Pontiac, MI
National Provider Identifier
1801954623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401007472
- 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, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12691550 | Other | MI | COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE INDENTIFIER |
| F37791012 | Other | MI | MEDICARE 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.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401007472 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Psychiatric Associates PC | Past | 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.
-
- Psychiatry Physician
- Bloomfield Hills, MI
- NPI 1184799736
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.