Devyn McDonald Sr., MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

342 Best Rd
Stockton, CA 95215-9711

Phone

(916) 295-8582

NPI assigned

Nov 1, 2022

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

Credentials

Master of Science

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.

• Circle C Ranch Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Stockton, CA
  • NPI 1952072019
  NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1235846031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 BANTON CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244821",
            "telephone_number": "559-273-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 BEST RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159711",
            "telephone_number": "916-295-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DEVYN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Patricia McDaniel
• Marie Summer McDaniel
• Michelle Marie McDaniel, LCSW
• Jasmine McDaniels
• Jeffrey Alan McDavit, M.D.
• Jerome Michael McDonald, MD
• Rob McDonald IV
• Samantha McDonald
• Susan B McDonald, MD
• William D McDonald, DPM

• Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.