Debra Shepard Nelson, PSY.D.
Individual provider Active NPI Clinical Psychologist · Durham, CT
NPI 1851640148 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1851640148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 003123 (CT)
- Practice address
- 199 Main Street
Durham, CT 06422-0002 - Phone
- (860) 788-3231
- Fax
- (888) 844-4036
- NPI assigned
- Sep 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brownstone Psychological Associates LLC
Practice addresses (Care Compare)
199 Main St
Durham, CT 06422-2108
Phone (860) 788-3231
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151001002617 | CT | Practitioner - Clinical Psychologist | 9133437007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003132 | CT | MD | Pastoral Counselor |
| 003123 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownstone Psychological Associates, LLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 003123 | CT | Yes |
Addresses
Primary practice location
199 Main Street
Durham, CT 06422-0002
Mailing address
PO Box 2
Durham, CT 06422-0002
Phone (860) 788-3231
Other providers in Durham, CT
- Taylor M McDermott
- Bryan McFarland
- MHS Primary Care
- Michelle Pellin Ms Ma LPC LLC
- Dadon Moore
- Nourish by Gina LLC
- Nutmeg Pediatric Speech Therapy LLC
- Open Minds Counseling
- Karen Otte
- Susan Marie Palmer
All providers in Durham, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.