Brandon Chaarles Devasier, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870

Phone

(870) 933-6886

Fax

(870) 933-9395

NPI assigned

Jul 23, 2010

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Brandon Charles Devasier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Methodist Behavioral Health Systems, Inc

  • Community/Behavioral Health Agency
  • Amity, AR
  • NPI 1255579157
  NPD (past)
• United Methodist Behavioral Hospital-Jonesboro, Inc

  dba Methodist Children's Behavioral Hospital - Jonesboro

  • Psychiatric Hospital
  • Jonesboro, AR
  • NPI 1245030428
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1164735767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723966614",
            "telephone_number": "501-472-9833",
            "fax_number": "501-687-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVASIER",
        "first_name": "BRANDON",
        "middle_name": "CHAARLES",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "DEVASIER",
            "middle_name": "CHARLES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel B Denton, P.T.
• Starla Denton, PT
• Zachary Wayne Depew
• Dermahealing Consultants, LLC (Defyne Med Spa and Weightloss)
• Gina Renea Deuter, MCD CCC-SLP
• Rita Devine
• Dinah M Dexter, LMSW
• Roger Dexter
• Amirtharaj Dhanaraja, M.D.
• Diabetic Resources of Arkansas, LLC

• Case Manager/Care Coordinator in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.