Organization Active NPI

Debbie Waterman, PHD, PC

  • Counseling Psychologist
  • West Chester, PA
National Provider Identifier
1841701455
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS015001 Issued in PA
Legal business name
DEBBIE WATERMAN, PHD, PC
Practice address
1546 McDaniel Dr
West Chester, PA 19380-7035
Phone
(610) 399-7057
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Dr. Deborah Ellyn Waterman, PHDNPI 1376631820
Title
Psychologist/Owner
Phone
(610) 399-7057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PS015001 PA Primary

Addresses

Primary practice location

1546 McDaniel Dr
West Chester, PA 19380-7035

Mailing address

1546 McDaniel Drive
West Chester, PA 19380
Phone (610) 399-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180209000043 PA Part B Supplier - Clinic/Group Practice 8527328665 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

1546 McDaniel Dr
West Chester, PA 19380
Phone (610) 357-1198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1841701455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 MCDANIEL DRIVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-399-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193807035",
            "telephone_number": "610-399-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE WATERMAN, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ELLYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "610-399-7057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS015001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.