Active NPI
Debra Danene Nygaard, PH.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1891855334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1000843
- Practice address
- 4000 Albemarle St NW
Suite 504
Washington, DC 20016-1851 - Phone
- (202) 302-0400
- NPI assigned
- Dec 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001703 | VA | |
| Clinical Psychologist | 103TC0700X | PSY1000843 | DC | Primary |
Addresses
Primary practice location
4000 Albemarle St NW
Suite 504
Washington, DC 20016-1851
Mailing address
3733 Jocelyn St NW
Washington, DC 20015-1807
Phone (202) 302-0400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026 | Other | VA | CARE FIRST BCBS |
| BY52 | Other | DC | CAREFIRST BC/BS |
| 188487 | Other | VA | ANTHEM |
| 004945026 | Medicaid | VA | |
| 546001103002 | Other | VA | TRICARE |
| 270291 | Other | VA | AMERIGROUP VIRGINIA INC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000843 | DC | MD | Clinical Psychologist |
| 0810001703 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1891855334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 JOCELYN ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151807",
"telephone_number": "202-302-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ALBEMARLE ST NW",
"address_2": "SUITE 504",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161851",
"telephone_number": "202-302-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYGAARD",
"first_name": "DEBRA",
"middle_name": "DANENE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001703",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BCBS",
"identifier": "0026",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "BY52",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "188487",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945026",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "546001103002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP VIRGINIA INC.",
"identifier": "270291",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.