Patricia Aurora Devendorf, MS,LADC,NCGCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000080 Issued in CT

Practice address

645 Farmington Ave
Hartford, CT 06105-2907

Phone

(860) 523-9788

Fax

(860) 232-5049

NPI assigned

Feb 2, 2007

Sex

Female

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Village for Families and Children IncGroup PAC ID 3072579895, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: patricia.devendorf.p1@direct.wheelerclinic.nextgenshare.com

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.

• The Village for Families & Children, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Hartford, CT
  • NPI 1841362795
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 QUAKER LN S",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101021",
            "telephone_number": "860-232-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 FARMINGTON AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052907",
            "telephone_number": "860-523-9788",
            "fax_number": "860-232-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENDORF",
        "first_name": "PATRICIA",
        "middle_name": "AURORA",
        "name_prefix": "Ms.",
        "credential": "MS,LADC,NCGCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Desmond, DPM
• Julia Desrochers, PA-C
• Eva Desrosiers, MD
• Edward John Detweiler IV, DO
• Kendra Devanney
• Christy Dever
• Katharine J Devin-Holcombe, M.D.
• Lisa M Devine, RDN
• Isabel Devon
• Heidi Ellen Dew

• Addiction (Substance Use Disorder) Counselor in Hartford, CT
• Providers in Hartford, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.