Devine Interventions Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC007555 Issued in PA

Legal business name

DEVINE INTERVENTIONS GROUP

Practice address

6757 Greene Street
Offices at Summit Prebyterian, Suite 200-C
Philadelphia, PA 19119-3711

Phone

(855) 410-8120

Fax

(215) 874-8897

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gary James Devine, MANPI 1558422949

Title

LPC

Phone

(267) 428-0321

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Gary Devine

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1558422949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1245766690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 GREENE STREET",
            "address_2": "OFFICES AT SUMMIT PREBYTERIAN, SUITE 200-C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193711",
            "telephone_number": "855-410-8120",
            "fax_number": "215-874-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 GREENE STREET",
            "address_2": "OFFICES AT SUMMIT PREBYTERIAN, SUITE 200-C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193711",
            "telephone_number": "855-410-8120",
            "fax_number": "215-874-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE INTERVENTIONS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "267-428-0321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "PC007555",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Devilli, PHARMD
• Amanda Jeanette Devilliers, CNS, LDN
• Courtney Lee Devin, MD
• Julia Devincent
• Devine Blessings Home Care Agency LLC
• Anita D. Devine, LCSW
• Conor Michael Devine, M.D.
• Daniel James Devine II, PA-C
• Felicia Devine
• Gary Devine

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.