Individual provider Active NPI

Deborah I. Dawson, PSY.D.

  • Psychologist
  • Chatham, NJ
National Provider Identifier
1811919616
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0002919 Issued in NJ
Practice address
291 Main St
Chatham, NJ 07928-2442
Phone
(973) 635-6161
Fax
(908) 901-9554
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0002919 NJ Primary

Addresses

Primary practice location

291 Main St
Chatham, NJ 07928-2442

Mailing address

291 Main St
Chatham, NJ 07928-2442
Phone (973) 635-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000121 NJ Practitioner - Clinical Psychologist 8325080898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Shawnee Dr
Suite 9
Watchung, NJ 07069-5803
Phone (908) 834-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0002919NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Psychology CurrentSince Jul 8, 2019 Accepting new patients

Locations

10 Shawnee Dr
Ste 9
Watchung, NJ 07069
Phone (908) 834-8080

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1811919616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282442",
            "telephone_number": "973-635-6161",
            "fax_number": "908-901-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282442",
            "telephone_number": "973-635-6161",
            "fax_number": "908-901-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "DEBORAH",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "0002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.