Active NPIIndividual providerSole proprietor

Mr. Jerry Dejean, LMHC

Counselor, Mental Health in Dobbs Ferry, New York

NPI Number1093165193
Practice location
71 Broadway, Dobbs Ferry, NY 10522-2834
Fax
914-693-2155
Last updated
June 20, 2016

Jerry Dejean is a Counselor, Mental Health based in Dobbs Ferry, NY. Jerry Dejean practices in Dobbs Ferry, NY and has the professional credentials of LMHC. The NPI Number for Jerry Dejean is 1093165193 and holds a License No. 004400 (NY). The current practice location address for Jerry Dejean is 71 Broadway, Dobbs Ferry, NY 10522-2834 and can be reached out via phone at 914-693-3030 and via fax at 914-693-2155.

Provider Profile Details

NPI Number
1093165193
Provider Name
Jerry Dejean
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
71 Broadway, Dobbs Ferry, NY 10522-2834
Phone Number
914-693-3030
Fax Number
914-693-2155
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 20, 2016
Last Update Date
June 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Broadway
Dobbs Ferry, NY 10522-2834
Zip
10522-2834
Phone Number
914-693-3030
Fax Number
914-693-2155
Dobbs Ferry, NY 10522Get directions →

Provider Business Mailing Address Details

Address
71 Broadway
Dobbs Ferry, NY 10522-2834
City
Dobbs Ferry
State
NY
Zip
10522-2834
Phone Number
914-693-3030
Fax Number
914-693-2155

License Information

License Number
004400
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

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 Mr. Jerry Dejean, LMHC?

The NPI number of Mr. Jerry Dejean, LMHC is 1093165193. It was assigned on June 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Jerry Dejean, LMHC?

Mr. Jerry Dejean, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 004400.

Where does Mr. Jerry Dejean, LMHC practice?

The practice location is 71 Broadway, Dobbs Ferry, NY 10522-2834. The office can be reached at 914-693-3030 (phone) or 914-693-2155 (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 1093165193 directly on the NPPES registry website.

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