Active NPI
Debbie Klingender, PH.D.
- Clinical Psychologist
- Brevard, NC
National Provider Identifier
1891773826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 102603
- Practice address
- 89 Hospital Dr
Suite C
Brevard, NC 28712 - Phone
- (828) 884-9096
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 102603 | NC | Primary |
Addresses
Primary practice location
89 Hospital Dr
Suite C
Brevard, NC 28712
Mailing address
138 Tsisdu CT
Brevard, NC 28712-6415
Phone (828) 883-4556
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 Jul 29, 2013 through Jul 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891773826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 TSISDU CT",
"city": "BREVARD",
"state": "NC",
"postal_code": "287126415",
"telephone_number": "828-883-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 HOSPITAL DR",
"address_2": "SUITE C",
"city": "BREVARD",
"state": "NC",
"postal_code": "28712",
"telephone_number": "828-884-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGENDER",
"first_name": "DEBBIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "102603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.