Active NPI
Debra F Morrison-Dyke, PH.D
- Clinical Psychologist
- Ardsley, NY
National Provider Identifier
1841477502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0139331
- Practice address
- 545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2157 - Phone
- (914) 329-0759
- Fax
- (914) 478-5192
- NPI assigned
- Jan 24, 2008
- Last updated
- Sep 26, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0139331 | NY | Primary |
Addresses
Primary practice location
545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2157
Mailing address
545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2157
Phone (914) 329-0759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0139331 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285459200000",
"number": "1841477502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SAW MILL RIVER RD",
"address_2": "SUITE 3C",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105022157",
"telephone_number": "914-329-0759",
"fax_number": "914-478-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SAW MILL RIVER RD",
"address_2": "SUITE 3C",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105022157",
"telephone_number": "914-329-0759",
"fax_number": "914-478-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON-DYKE",
"first_name": "DEBRA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2010-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0139331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.