Active NPIIndividual provider

Mr. Darrell Devonish, CASAC-T

Counselor, Addiction (Substance Use Disorder) in Jamaica, New York

NPI Number1275955759
Practice location
11630 Sutphin Blvd, Jamaica, NY 11434-1527
Fax
—
Last updated
January 17, 2014

Darrell Devonish is a Counselor, Addiction (Substance Use Disorder) based in Jamaica, NY. Darrell Devonish practices in Jamaica, NY and has the professional credentials of CASAC-T. The NPI Number for Darrell Devonish is 1275955759 and holds a License No. 27920 (NY). The current practice location address for Darrell Devonish is 11630 Sutphin Blvd, Jamaica, NY 11434-1527 and can be reached out via phone at 718-322-2500.

Provider Profile Details

NPI Number
1275955759
Provider Name
Darrell Devonish
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Male
Address
11630 Sutphin Blvd, Jamaica, NY 11434-1527
Phone Number
718-322-2500
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
January 17, 2014
Last Update Date
January 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
11630 Sutphin Blvd
Jamaica, NY 11434-1527
Zip
11434-1527
Phone Number
718-322-2500
Jamaica, NY 11434Get directions →

Provider Business Mailing Address Details

Address
108 Edgecombe Ave
1B
New York, NY 10030-1939
City
New York
State
NY
Zip
10030-1939

License Information

License Number
27920
License State
NY
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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. Darrell Devonish, CASAC-T?

The NPI number of Mr. Darrell Devonish, CASAC-T is 1275955759. It was assigned on January 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Darrell Devonish, CASAC-T?

Mr. Darrell Devonish, CASAC-T is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 27920.

Where does Mr. Darrell Devonish, CASAC-T practice?

The practice location is 11630 Sutphin Blvd, Jamaica, NY 11434-1527. The office can be reached at 718-322-2500 (phone).

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 1275955759 directly on the NPPES registry website.

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