Developmental Therapy Outreach Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEVELOPMENTAL THERAPY OUTREACH SERVICES

Practice address

4506 Tyne Dr
Durham, NC 27703-2891

Phone

(919) 596-5047

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Sajina Cooper

Title

Billing

Phone

(919) 381-1112

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Vass

  • Mental Health Counselor
  • Durham, NC
  • NPI 1124239934
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1225222896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11928",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277031928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 TYNE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032891",
            "telephone_number": "919-596-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL THERAPY OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SAJINA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "919-381-1112"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302047K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302047",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pratyush Pavan Devarasetty, MD
• Rakhee Shirish Devasthali, MD
• Carol Devega, CADC 30581
• Developing Minds of North Carolina, PLLC
• Developmental Therapy Associates, Inc.
• Michael Dever
• Devereux Residential Services
• Devereux Residential Services LLC
• Devereux Residential Services LLC
• Tyson William Devereux, DC

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.