DR. DEBORAH K. TYSON (PHD) – Counseling Psychologist, NPI 1275517005

DR. DEBORAH K. TYSON (PHD) is a healthcare provider. based in Miami, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY4181 (FL). The NPI Number for DR. DEBORAH K. TYSON (PHD) is 1275517005

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBORAH K. TYSON (PHD)
NPI
1275517005
Phone
(305) 595-8225
Address
9021 SW 94 STREET
Enumeration Date
5 December 2005
Last Update Date
1 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3055958225
Graduation Year
1988 (38 years ago)
PAC ID
6002941317
Professional Enrollment ID
I20100311000716
Address ID
FL331762112MI9021XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DR. DEBORAH K. TYSON (PHD)

  • 9021, Southwest 8th Street, Town Park Estates, Miami-Dade County, Florida, 33174, United States

    APT 208

    MIAMI, FL 331762311

    Phone: (305) 595-8225

    Type: Mailing

  • 7700, Southwest 88th Street, Miami, Miami-Dade County, Florida, 33156, United States

    SUITE 413

    MIAMI, FL 331567565

    Phone: (305) 595-8225

    Fax: (305) 596-6947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100311000716IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33176)

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Reviews

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Frequently asked questions

How is DR. DEBORAH K. TYSON (PHD) identified in CMS data?
CMS-hosted NPPES data lists DR. DEBORAH K. TYSON (PHD) with NPI 1275517005.
Does the file indicate DR. DEBORAH K. TYSON (PHD) is practicing under active NPI?
Directory data currently reports DR. DEBORAH K. TYSON (PHD) as active.
What healthcare role does DR. DEBORAH K. TYSON (PHD) hold?
Scheduling teams often label DR. DEBORAH K. TYSON (PHD) under Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What area does DR. DEBORAH K. TYSON (PHD) serve?
DR. DEBORAH K. TYSON (PHD)'s listing highlights Miami, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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