DR. DEBORAH FETTER NASTASI (NPI# 1730478306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730478306 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH FETTER NASTASI |
| Credential | PH.D. |
| Practice Address |
4061 Suzanne Dr Diberville MS 39540-3735 |
| Practice Telephone | 2283964434 |
| Mailing Telephone | 2283964434 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
36-635 | MS | Behavioral Health & Social Service Providers |
| Street Address |
4061 SUZANNE DR |
| City | DIBERVILLE |
| State | MS |
| Zip Code | 39540-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669655163 | Aimee M Wilson | Psychologist | 4061 Suzanne Dr, Suite C & C, Diberville, MS 39540-3735 | 2007-12-07 |
| 1174001028 | Jodi Lynn Frock | Behavior Technician | 4061 Suzanne Dr, Diberville, MS 39540-3735 | 2018-08-02 |
| 1083192934 | Katherine Grace Horn | Behavior Technician | 4061 Suzanne Dr, Diberville, MS 39540-3735 | 2018-08-02 |
| 1891273744 | Janie Davis Hamrick | Behavior Technician | 4061 Suzanne Dr, Diberville, MS 39540-3735 | 2018-08-02 |
| 1790130631 | Elissa Parker | Behavioral Analyst | 4061 Suzanne Dr, Suite C and D, Diberville, MS 39540-3735 | 2016-04-28 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1891084414 | Mississippi Center for Autism and Related Developmental Disabilities | Psychologist | 4061 Suzanne Dr, Suite C, Diberville, MS 39540-3735 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
| 1962029629 | Jessica Jensen | Counselor | 356 Ginger Dr. #7385, D'iberville, MS 39540-0003 | 2020-06-29 |
| Find all providers in zip 39540 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669655163 | Aimee M Wilson | Psychologist | 4061 Suzanne Dr, Suite C & C, Diberville, MS 39540-3735 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921098 | Betty Swain Weiss | Psychologist | 1220 Speaks Rd, Terry, MS 39170-7116 | 2020-08-04 |
| 1467948091 | L & A Services | Psychologist | 1300 S Davis Ave, Cleveland, MS 38732-4312 | 2018-07-06 |
| 1063795870 | Will's Way, LLC | Psychologist | 604 Adeline St, Suite B, Hattiesburg, MS 39401-3842 | 2011-09-28 |
| 1932470515 | Heidi L Vine | Psychologist | 1701 White St, Mccomb, MS 39648-2711 | 2012-01-13 |
| 1518297191 | Jan Ganann | Psychologist | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-01-05 |
| City | DIBERVILLE |
| Zip Code | 39540 |
Please comment or provide details below to improve the information on DR. DEBORAH FETTER NASTASI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.