Christopher Detora

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

520 Hope St
Providence, RI 02906-2532

Phone

(401) 276-4155

NPI assigned

Oct 30, 2023

Last updated

Oct 30, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Providence Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
  • NPI 1104847946

  Counselor

  NPD

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1225800543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHARTER ST",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029195069",
            "telephone_number": "401-230-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062532",
            "telephone_number": "401-276-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETORA",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Desrosiers, LMT
• Sara Desrosiers
• Samantha Dessert, AGACNP
• Almaz Sara Dessie, M.D.
• Danielle Destiny, MD
• Jennifer Detrisac, M.D.
• Stephan D Deutsch, MD
• Daniella Amber Devaney
• Jean L. Devera, MD
• Jerilyn A Devin, NP

• Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.