Individual provider Active NPI

Betty Jane Devers, ED.D.

  • Psychologist
  • Waco, TX
National Provider Identifier
1962404970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2-4296 Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2-4296TXMDPsychologist
24296TXMDSpeech-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

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.

Verify at the official NPI Registry.