Gary Devine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC007555 Issued in PA

Practice address

6757 Greene Street
Offices at Summit Prebyterian
Philadelphia, PA 19119-3508

Phone

(267) 428-0321

Fax

(267) 907-8586

NPI assigned

Dec 12, 2006

Last updated

Aug 9, 2024By the provider in NPPES

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

Enrolled in PA

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devine Interventions Group

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1245766690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1558422949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E PHIL ELLENA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192223",
            "telephone_number": "267-428-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 GREENE STREET",
            "address_2": "OFFICES AT SUMMIT PREBYTERIAN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193508",
            "telephone_number": "267-428-0321",
            "fax_number": "267-907-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 Terrace St",
            "address_2": "Pilgrim Church",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191285213",
            "country_code": "US",
            "telephone_number": "267-428-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devine Interventions Group
• Anita D. Devine, LCSW
• Conor Michael Devine, M.D.
• Daniel James Devine II, PA-C
• Felicia Devine
• John G Devine Jr., MD
• Kaila Devine, CRNP
• Kaitlin Joan Devine, MD
• Taylor Michael Devine
• Amber N Devirgiliis, CRNP

• 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 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.