DEBRA SUE DEAN NPI 1023146479

Counselor (Mental Health) in Merced, CA

About DEBRA DEAN

Debra Dean is a provider in Merced, CA. The NPI number assigned to this provider is 1023146479. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1023146479

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name DEBRA SUE DEAN
Provider Location Address658 W MAIN ST MERCED, CA 95340 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1201 W DONNA DR MERCED, CA 95348 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.LCS9714
License StateCA

Business Address

DEBRA SUE DEAN
658 W MAIN ST
MERCED, CA
ZIP 95340
Phone: (209) 381-6885

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Mailing Address

DEBRA SUE DEAN
1201 W DONNA DR
MERCED, CA
ZIP 95348
Phone: (209) 383-4808

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
LCS9714OTHER (01)CA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780713198 PATRICIA WALKER CAS
Individual
Counselor (Addiction (Substance Use Disorder))658 W MAIN ST
MERCED, CA 95340
(209) 381-6880
1801923214 ANGELA CHRISTINE CRAIN
Individual
Counselor (Addiction (Substance Use Disorder))658 W MAIN ST
MERCED, CA 95340
(209) 381-6880
1851420269 HELEN ANNETTE THOMAS
Individual
Counselor (Addiction (Substance Use Disorder))658 W MAIN ST
MERCED, CA 95340
(209) 381-6880
Previous NPI
1023146461
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1023146487