Active NPI
Betty Jane Devers, ED.D.
- Psychologist
- Waco, TX
National Provider Identifier
1962404970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2-4296
- Practice address
- 305 Londonderry Dr
Suite 4
Waco, TX 76712-7906 - Phone
- (254) 772-8360
- Fax
- (254) 776-5718
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2-4296 | TX | Primary |
Addresses
Primary practice location
305 Londonderry Dr
Suite 4
Waco, TX 76712-7906
Mailing address
305 Londonderry Dr
Suite 4
Waco, TX 76712-7906
Phone (254) 772-8360
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-4296 | TX | MD | Psychologist |
| 24296 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962404970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LONDONDERRY DR",
"address_2": "SUITE 4",
"city": "WACO",
"state": "TX",
"postal_code": "767127906",
"telephone_number": "254-772-8360",
"fax_number": "254-776-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LONDONDERRY DR",
"address_2": "SUITE 4",
"city": "WACO",
"state": "TX",
"postal_code": "767127906",
"telephone_number": "254-772-8360",
"fax_number": "254-776-5718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVERS",
"first_name": "BETTY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2-4296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
- Dept of Assistive & Rehab Serv - Waco Field Headquarters
- Heather Marie Derington, D.O.
- Dermatology & Plastic Surgery Association, Inc.
- Amy Leigh Derrick, MSN, APRN, FNP-C
- Nelson D Destaffany, MD
- Angela Jean Devinney, LPC
- Marisela Devora
- Jacquelin Dawn Dewbre, DO
- Rachael Dewey, RBT
- DFW Medical Transportation
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.