NPIMap

Frederick L Debarros

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Garrison, NY

NPI 1730337635 · NPPES record last updated Sep 4, 2008

Key facts

NPI
1730337635
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
19187 (NY)
Practice address
21 Franciscan Way
Garrison, NY 10524-0150
Phone
(845) 335-1000
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19187NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St.Christopher'S Inn Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0a1d8e09-c5b6-42c3-8311-cf5af3665cbe/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19187 NY Yes

Addresses

Primary practice location

21 Franciscan Way
Garrison, NY 10524-0150

Mailing address

PO Box 150
Garrison, NY 10524-0150
Phone (845) 335-1000

Other providers in Garrison, NY

All providers in Garrison, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.