Active NPI
Deborah Lucille Kerr, PH.D.
- Clinical Psychologist
- Cape Girardeau, MO
National Provider Identifier
1952706095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2019011187
- Practice address
- 1223 N Kingshighway St
Cape Girardeau, MO 63701-3506 - Phone
- (573) 271-2008
- Fax
- (573) 271-2008
- NPI assigned
- Oct 31, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1800 | AL | |
| Clinical Psychologist | 103TC0700X | 2019011187 | MO | Primary |
Addresses
Primary practice location
1223 N Kingshighway St
Cape Girardeau, MO 63701-3506
Mailing address
2214 Earleen St
Cape Girardeau, MO 63701-1812
Phone (573) 271-2008
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 |
|---|---|---|---|
| 2019011187 | MO | MD | Clinical Psychologist |
| 1800 | AL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1952706095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 EARLEEN ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637011812",
"telephone_number": "573-271-2008",
"fax_number": "573-271-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 N KINGSHIGHWAY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013506",
"telephone_number": "573-271-2008",
"fax_number": "573-271-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "DEBORAH",
"middle_name": "LUCILLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-31",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "1800",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2019011187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.