DR. PAMELA GRACE DEVANEY PSY.D. NPI 1295771533

NPI Information

NPI: 1295771533
Provider Name: DR. PAMELA GRACE DEVANEY, PSY.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
63 PARK ST
SUITE 15
ANDOVER, MA
ZIP 01810
Phone: (978) 474-5004
Get Directions

DR. Pamela Grace Devaney, PSY.D. is a clinical neuropsychologist in Andover, MA with 29 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Pamela Grace Devaney, PSY.D. NPI is 1295771533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

63 PARK ST
SUITE 15
ANDOVER, MA
ZIP 01810-662
Phone: (978) 474-5004
Fax: (978) 474-5004

The NPI 1295771533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		7935	MASSACHUSETTS	Yes
2	103T00000X	Psychologist		7935	MASSACHUSETTS	X
3	103TA0700X	Psychologist	Adult Development & Aging	7935	MASSACHUSETTS	X
4	103TC0700X	Psychologist	Clinical	7935	MASSACHUSETTS	X
5	103TC2200X	Psychologist	Clinical Child & Adolescent	7935	MASSACHUSETTS	X
6	103TH0100X	Psychologist	Health Service	7935	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W06131	OTHER	MASSACHUSETTS	BLIE CROSS BLUE SHIELD
2	P59279	MEDICARE UPIN	MASSACHUSETTS
3	W51034	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	0501221	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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