DR. DEBORAH ROZELLE PSY.D.
NPI 1154429454
Psychologist - Clinical in Providence, RI

Active since September 20, 2006Opted out of Medicare · through Apr 1, 2028
205 WATERMAN ST STE 105, PROVIDENCE, RI 02906(781) 862-4800(401) 252-4203 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2021, Aug 3, 2021 (2 updates tracked since 2021).

About Dr. Deborah Rozelle Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEBORAH ROZELLE PSY.D. (NPI 1154429454) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS01896) and active in the NPI registry since September 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1154429454
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEBORAH ROZELLECredential: PSY.D.
Location Address205 WATERMAN ST STE 105Providence, RI 02906-4313
Mailing Address205 Waterman St Ste 105Providence, RI 02906-4313 · (781) 862-4800 · Fax (401) 252-4203
Fax(401) 252-4203
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
NPI 1154429454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in RI · PS01896 Licensed in MA · 7589
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3728 (MA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 7589 (MA)
205 WATERMAN ST STE 105, Providence, RI 02906

Other Identifiers 1

Other1154429454-7698RI · Bcbs Of Ri

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Deborah Rozelle Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Rozelle's NPI number?

The NPI number for Deborah Rozelle is 1154429454. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Deborah Rozelle located?

Deborah Rozelle practices at 205 Waterman St Ste 105, Providence, RI 02906. The listed phone number is (781) 862-4800.

What is Deborah Rozelle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Deborah Rozelle enrolled in Medicare?

No. Deborah Rozelle has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deborah Rozelle was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.