Mauro Lucio Defreitas Roberto, MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5043 Frankford Ave
Philadelphia, PA 19124-2644

Phone

(215) 744-4343

Fax

(215) 744-8731

NPI assigned

Jan 11, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Best Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1730361767
  NPD
• Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1093786410
  NPD (past)

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1548031164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 NEWTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115608",
            "telephone_number": "267-296-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242644",
            "telephone_number": "215-744-4343",
            "fax_number": "215-744-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS ROBERTO",
        "first_name": "MAURO LUCIO",
        "credential": "MHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine A Deforest, D.O.
• Charles Defrancesco Jr., MD
• Joshua Ryan Defrancisco, DPT
• Mary E Defrancisco, M.D.
• Kaitlyn Defrangesco, CRNP
• Aleena Defreitas
• Nathalie Degaiffier
• Danielle Degarr
• Karl Degenhardt, M.D.
• Sarah Degeorge, LSW

• 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 Jan 11, 2024; 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.