Active NPIIndividual providerSole proprietor

Dr. Douglas M Deville, PSYD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1902882731
Practice location
729 Boylston St, 4TH Floor, Boston, MA 02116-2639
Fax
617-262-7790
Last updated
July 8, 2007

Douglas M. Deville is a Psychologist, Clinical based in Boston, MA. Douglas M. Deville practices in Boston, MA and has the professional credentials of PSYD. The NPI Number for Douglas M. Deville is 1902882731 and holds a License No. 6011 (MA). The current practice location address for Douglas M. Deville is 729 Boylston St, 4TH Floor, Boston, MA 02116-2639 and can be reached out via phone at 617-262-7771 and via fax at 617-262-7790.

Provider Profile Details

NPI Number
1902882731
Provider Name
Douglas M. Deville
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
729 Boylston St, 4TH Floor, Boston, MA 02116-2639
Phone Number
617-262-7771
Fax Number
617-262-7790
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 22, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
729 Boylston St
4TH Floor
Boston, MA 02116-2639
City
Boston
Zip
02116-2639
Phone Number
617-262-7771
Fax Number
617-262-7790
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
729 Boylston St
4TH Floor
Boston, MA 02116-2639
City
Boston
State
MA
Zip
02116-2639
Phone Number
617-262-7771
Fax Number
617-262-7790

License Information

License Number (1)
6011
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
600
License State (2)
NH
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Douglas M Deville, PSYD?

The NPI number of Dr. Douglas M Deville, PSYD is 1902882731. It was assigned on December 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas M Deville, PSYD?

Dr. Douglas M Deville, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 6011.

Where does Dr. Douglas M Deville, PSYD practice?

The practice location is 729 Boylston St, 4TH Floor, Boston, MA 02116-2639. The office can be reached at 617-262-7771 (phone) or 617-262-7790 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902882731 directly on the NPPES registry website.

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