Active NPI
Barry Demeter
- Addiction (Substance Use Disorder) Counselor
- Santa Clarita, CA
National Provider Identifier
1710399100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RW7613
- Practice address
- 24460 Lyons Ave
Santa Clarita, CA 91321-2347 - Phone
- (661) 253-9400
- Fax
- (661) 253-9403
- NPI assigned
- May 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RW7613 | CA | Primary |
Addresses
Primary practice location
24460 Lyons Ave
Santa Clarita, CA 91321-2347
Mailing address
6166 Vesper Ave
Van Nuys, CA 91411-2851
Phone (818) 997-0414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RW7613 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1710399100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6166 VESPER AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112851",
"telephone_number": "818-997-0414",
"fax_number": "818-785-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24460 LYONS AVE",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212347",
"telephone_number": "661-253-9400",
"fax_number": "661-253-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMETER",
"first_name": "BARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RW7613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.