Individual provider Active NPI

Derek Quirke

  • Addiction (Substance Use Disorder) Counselor
  • Delray Beach, FL
National Provider Identifier
1194244111
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
8081 Tumblestone CT Apt 318
Delray Beach, FL 33446-4442
Phone
(781) 812-8206
NPI assigned
Sep 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

8081 Tumblestone CT Apt 318
Delray Beach, FL 33446-4442

Mailing address

8081 Tumblestone CT Apt 318
Delray Beach, FL 33446-4442

Other practice location 1

497 Belleville Ave
New Bedford, MA 02746-5432
Phone (774) 213-8448

Other practice location 2

10 Meadowbrook Rd.
Brockton, MA 02351
Phone (508) 762-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1194244111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 TUMBLESTONE CT APT 318",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334464442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 TUMBLESTONE CT APT 318",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334464442",
            "telephone_number": "781-812-8206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Belleville Ave",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027465432",
            "country_code": "US",
            "telephone_number": "774-213-8448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Meadowbrook Rd.",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02351",
            "country_code": "US",
            "telephone_number": "508-762-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIRKE",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.