Organization Active NPI

Deborah a Atkinson PHD PA

  • Clinical Psychologist
  • Fayetteville, NC
National Provider Identifier
1831153899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2325 Issued in NC
Legal business name
DEBORAH A ATKINSON PHD PA
Practice address
592 Executive Place
Suite 101
Fayetteville, NC 28305
Phone
(910) 429-0003
Fax
(910) 323-1921
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah A Atkinson, PHD
Title
Owner PHD Psychologist
Phone
(910) 429-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2325 NC Primary

Addresses

Primary practice location

592 Executive Place
Suite 101
Fayetteville, NC 28305

Mailing address

592 Executive Place
Suite 101
Fayetteville, NC 28305
Phone (910) 429-0003

National Provider Directory

National Provider Directory

Locations

5511 Raeford Rd
Ste 203
Fayetteville, NC 28304
Phone (910) 429-0003

2711 Breezewood Ave
Ste A
Fayetteville, NC 28303
Phone (910) 429-0003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831153899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 EXECUTIVE PLACE",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28305",
            "telephone_number": "910-429-0003",
            "fax_number": "910-323-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 EXECUTIVE PLACE",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28305",
            "telephone_number": "910-429-0003",
            "fax_number": "910-323-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A ATKINSON PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHD PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-429-0003",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.