- Practice location
- 110 E 60TH St Rm 900, New York, NY 10022-1697
- Phone
- 914-340-4535
- Fax
- 385-355-2734
- Last updated
- July 9, 2024
Derek Martin Blevins is a Psychiatry & Neurology, Psychiatry based in New York, NY. Derek Martin Blevins practices in New York, NY and has the professional credentials of MD. The NPI Number for Derek Martin Blevins is 1720321565 and holds a License No. 288318 (NY). The current practice location address for Derek Martin Blevins is 110 E 60TH St Rm 900, New York, NY 10022-1697 and can be reached out via phone at 914-340-4535 and via fax at 385-355-2734.
Provider Profile Details
- NPI Number
- 1720321565
- Provider Name
- Derek Martin Blevins
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 110 E 60TH St Rm 900, New York, NY 10022-1697
- Phone Number
- 914-340-4535
- Fax Number
- 385-355-2734
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 29, 2013
- Last Update Date
- July 9, 2024
- Certification Date
- July 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 E 60TH St Rm 900
New York, NY 10022-1697 - City
- New York
- State
- New York
- Zip
- 10022-1697
- Phone Number
- 914-340-4535
- Fax Number
- 385-355-2734
Provider Business Mailing Address Details
- Address
- 120 E 56TH St Rm 300
New York, NY 10022-3753 - City
- New York
- State
- NY
- Zip
- 10022-3753
- Phone Number
- 914-340-4535
- Fax Number
- 385-355-2734
License Information
- License Number (1)
- 288318
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- License Number (2)
- 288318
- License State (2)
- NY
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Derek M Blevins, MD?
The NPI number of Dr. Derek M Blevins, MD is 1720321565. It was assigned on March 29, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Derek M Blevins, MD?
Dr. Derek M Blevins, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 288318.
Where does Dr. Derek M Blevins, MD practice?
The practice location is 110 E 60TH St Rm 900, New York, NY 10022-1697. The office can be reached at 914-340-4535 (phone) or 385-355-2734 (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 1720321565 directly on the NPPES registry website.