Individual provider Active NPI

Deborah McNeil Okon, PH.D.

  • Clinical Psychologist
  • Belen, NM
National Provider Identifier
1982607644
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
654 Issued in NM
Practice address
315 W Reinken Ave
Ste C
Belen, NM 87002-4257
Phone
(505) 861-3894
Fax
(505) 861-3897
NPI assigned
May 24, 2005
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 264001 NM
Clinical Psychologist 103TC0700X 654 NM Primary

Addresses

Primary practice location

315 W Reinken Ave
Ste C
Belen, NM 87002-4257

Mailing address

315 W Reinken Ave
Ste C
Belen, NM 87002-4257
Phone (505) 861-3894

Other identifiers 3

IdentifierTypeStateIssuer
54002OtherNMPRESBYTERIAN HEALTH PLAN
NL55OtherNMBLUE CROSS/BLUE SHIELD
P4668MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20100910000199 NM Practitioner - Clinical Psychologist 1153446497 Practice locations: Belen, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 W Reinken Ave
Suite C
Belen, NM 87002-4257
Phone (505) 861-3894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
264001NMMDSchool Psychologist
654NMMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1982607644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W REINKEN AVE",
            "address_2": "STE C",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870024257",
            "telephone_number": "505-861-3894",
            "fax_number": "505-861-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W REINKEN AVE",
            "address_2": "STE C",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870024257",
            "telephone_number": "505-861-3894",
            "fax_number": "505-861-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKON",
        "first_name": "DEBORAH",
        "middle_name": "MCNEIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "264001",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "54002",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "NL55",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P4668",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.