Joel Darnell Dewberry

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

SA0823311 Issued in MI

Practice address

20102 Harper Ave
Harper Woods, MI 48225-1712

Phone

(313) 579-8272

NPI assigned

Aug 5, 2020

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Abundant Community Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1770021537
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1235749219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20102 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251712",
            "telephone_number": "313-579-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20102 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251712",
            "telephone_number": "313-579-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWBERRY",
        "first_name": "JOEL",
        "middle_name": "DARNELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "SA0823311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demarco Rouse Jr
• Derbala Institute for Reproductive Immunology, PLLC
• Youssef S. Derbala, MD
• Destiny Family Service
• Darryl Dewberry
• Diloreto Dental Care PC
• David George Diloreto, D.D.S.
• Desiree Dismuke
• Chris Doherty
• Sarah Dorris, MA, LPC, CAADC

• Substance Use Disorder Rehabilitation Hospital Unit in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.