ASIA NICOLE DEBERRY
NPI 1366160822
Psychologist - Health Service in Indianapolis, IN

Active since August 19, 2022
9156 GRANVILLE CT, INDIANAPOLIS, IN 46229(317) 993-4064 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2022, Aug 19, 2022 (2 updates tracked since 2022).

About Asia Nicole Deberry NPPES

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

ASIA NICOLE DEBERRY (NPI 1366160822) is an individual health service provider in Indianapolis, Indiana, licensed in Indiana (014956) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1366160822
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameASIA NICOLE DEBERRY
Location Address9156 GRANVILLE CTIndianapolis, IN 46229-2042
Mailing Address9156 Granville CtIndianapolis, IN 46229-2042 · (317) 993-4064
Sole ProprietorYes
Enumeration DateAugust 19, 2022
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1366160822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in IN · 014956
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
9156 GRANVILLE CT, Indianapolis, IN 46229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Asia Deberry's NPI number?

The NPI number for Asia Deberry is 1366160822. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Asia Deberry located?

Asia Deberry practices at 9156 Granville Ct, Indianapolis, IN 46229. The listed phone number is (317) 993-4064.

What is Asia Deberry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Asia Deberry was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.