Individual provider Active NPI

Devon Byard Maceachron, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1902251341
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020631-1 Issued in NY
Practice address
71 E 77TH St
7C
New York, NY 10075-1860
Phone
(646) 612-0328
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020631-1 NY Primary

Addresses

Primary practice location

71 E 77TH St
7C
New York, NY 10075-1860

Mailing address

71 E 77TH St
7C
New York, NY 10075-1860
Phone (646) 612-0328

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
020631-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1902251341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E 77TH ST",
            "address_2": "7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751860",
            "telephone_number": "646-612-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 E 77TH ST",
            "address_2": "7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751860",
            "telephone_number": "646-612-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEACHRON",
        "first_name": "DEVON",
        "middle_name": "BYARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020631-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.