Devine Behavioral Health Care

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DEVINE BEHAVIORAL HEALTH CARE

Practice address

2304 Oak LN
Grand Prairie, TX 75051-8812

Phone

(240) 543-0832

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Adebukola Aderemi

Title

NP

Phone

(240) 543-0832

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1275254765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812",
            "telephone_number": "240-543-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE BEHAVIORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A",
        "authorized_official_last_name": "ADEREMI",
        "authorized_official_first_name": "ADEBUKOLA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "240-543-0832"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Psychiatry Physician in Texas

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