Active NPI
Deborah I. Dawson, PSY.D.
- Psychologist
- Chatham, NJ
National Provider Identifier
1811919616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0002919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0002919 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Psychology | Current | 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.
-
dba Dawson Psychological Services
- Clinical Psychologist
- Watchung, NJ
- NPI 1043864663
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.