Doyle Norman Degraw, LIMITED LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008236 Issued in NY

Practice address

58 Pembrook Dr
Stony Brook, NY 11790-2636

Phone

(616) 633-3565

NPI assigned

Feb 12, 2011

Last updated

Nov 22, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1629375530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PEMBROOK DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902636",
            "telephone_number": "616-633-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PEMBROOK DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902636",
            "telephone_number": "616-633-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAW",
        "first_name": "DOYLE",
        "middle_name": "NORMAN",
        "credential": "LIMITED LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-12",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008236",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P96322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Decarlo, PNP
• Amanda Paige Deck, MS CCC-SLP
• Joseph Decristofaro, M.D.
• Emily Grace Deehan
• Thomas Joseph Degnan, MD
• Michele L Degraw, NP
• Francesca Helen Deieso-Frechette, MD
• Amanda Magalhaes Dejesus, LMSW
• Erin Elizabeth Delaney, PA-C
• Kristen M Delaney, M.D.

• Mental Health Counselor in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.