Active NPIIndividual providerSole proprietor

Jeffrey S Derouin

Counselor, Addiction (Substance Use Disorder) in Pawtucket, Rhode Island

NPI Number1760902225
Practice location
82 Pond St, Pawtucket, RI 02860-4462
Fax
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Last updated
July 21, 2022

Jeffrey Scott Derouin is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Jeffrey Scott Derouin practices in Pawtucket, RI. The NPI Number for Jeffrey Scott Derouin is 1760902225. The current practice location address for Jeffrey Scott Derouin is 82 Pond St, Pawtucket, RI 02860-4462 and can be reached out via phone at 401-727-1287.

Provider Profile Details

NPI Number
1760902225
Provider Name
Jeffrey Scott Derouin
Provider Entity Type
Individual
Gender
Male
Address
82 Pond St, Pawtucket, RI 02860-4462
Phone Number
401-727-1287
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Pond St
Pawtucket, RI 02860-4462
Zip
02860-4462
Phone Number
401-727-1287
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
82 Pond St
Pawtucket, RI 02816
City
Pawtucket
State
RI
Zip
02816
Phone Number
401-727-1287

License Information

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 Jeffrey S Derouin?

The NPI number of Jeffrey S Derouin is 1760902225. It was assigned on June 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Jeffrey S Derouin?

Jeffrey S Derouin is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Jeffrey S Derouin practice?

The practice location is 82 Pond St, Pawtucket, RI 02860-4462. The office can be reached at 401-727-1287 (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 1760902225 directly on the NPPES registry website.

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