Donald Deblock, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4602 Issued in MA

Practice address

135 Main Street
Wenham, MA 01984

Phone

(978) 468-7671

Fax

(978) 468-9720

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Psychological Services, PC

  • Clinical Psychologist
  • Wenham, MA
  • NPI 1306036348
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912094202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "019842567",
            "telephone_number": "978-468-7671",
            "fax_number": "978-468-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN STREET",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "01984",
            "telephone_number": "978-468-7671",
            "fax_number": "978-468-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLOCK",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "WO4426",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Collins
• Congenial Healthcare, LLC (Gordon College Health Center)
• Meredith Conroy
• Carolyn Cwalinski
• David De Baere
• Jennifer Delorenzo, LCSW, LICSW
• Adeline Dettor, LICSW
• McKenzie Garvey Distefano
• Adrienne Dooley, MS, SLP-CCC
• Elizabeth Clare Dowd, M.ED

• Psychologist in Wenham, MA
• Providers in Wenham, MA by specialty
• Psychologist in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.