Deborah Conyers, MS,ABD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003133-1 Issued in NY

Practice address

56 Richard Ave
Islip Terrace, NY 11752-2730

Phone

(631) 277-1501

Fax

(631) 277-2798

NPI assigned

Mar 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Master of Science

State licenses

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• Alvin D. Holcomb, MD P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Melville, NY
  • NPI 1164673471
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1942574900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 RICHARD AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522730",
            "telephone_number": "631-277-1501",
            "fax_number": "631-277-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 RICHARD AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522730",
            "telephone_number": "631-277-1501",
            "fax_number": "631-277-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONYERS",
        "first_name": "DEBORAH",
        "credential": "MS,ABD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003133-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Chamblin, COTA
• Gregory E Chermak, LPN
• Amanda E Chesnos
• Mara Cofler -Koldorff, MD
• Comfort at Heart Home Care LLC (Comfort At Heart)
• Lauren Coolbaugh
• Cheryl A Crawford
• Patricia Elizabeth Croce, LMSW
• Peter Cutler, D.P.M.
• CVS Albany LLC (CVS Pharmacy# 01950)

• Mental Health Counselor in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.