Active NPIIndividual provider

Mr. Michael D Deforbes, LCDP

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

NPI Number1770895393
Practice location
31 North Union Street, Pawtucket, RI 02860
Fax
—
Last updated
May 5, 2017

Michael D Deforbes is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Michael D Deforbes practices in Pawtucket, RI and has the professional credentials of LCDP. The NPI Number for Michael D Deforbes is 1770895393 and holds a License No. CDP00466 (RI). The current practice location address for Michael D Deforbes is 31 North Union Street, Pawtucket, RI 02860 and can be reached out via phone at 401-461-9110.

Provider Profile Details

NPI Number
1770895393
Provider Name
Michael D Deforbes
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
31 North Union Street, Pawtucket, RI 02860
Phone Number
401-461-9110
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2010
Last Update Date
May 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 North Union Street
Pawtucket, RI 02860
Zip
02860
Phone Number
401-461-9110
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
31 North Union Street
Pawtucket, RI 02860
City
Pawtucket
State
RI
Zip
02860
Phone Number
401-725-2520
Fax Number
401-723-9595

License Information

License Number
CDP00466
License State
RI
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. Michael D Deforbes, LCDP?

The NPI number of Mr. Michael D Deforbes, LCDP is 1770895393. It was assigned on July 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael D Deforbes, LCDP?

Mr. Michael D Deforbes, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00466.

Where does Mr. Michael D Deforbes, LCDP practice?

The practice location is 31 North Union Street, Pawtucket, RI 02860. The office can be reached at 401-461-9110 (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 1770895393 directly on the NPPES registry website.

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