Devmar Behavioral, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4111 Issued in NC

Legal business name

DEVMAR BEHAVIORAL, PLLC

Practice address

501 Vallie LN
Wilmington, NC 28412-2724

Phone

(910) 599-3397

NPI assigned

Feb 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ann Marie Simmonds, LPA, LCASNPI 1760753024

Title

Owner

Phone

(910) 599-3397

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Simmonds, LPA

  • Psychologist
  • Wilmington, NC
  • NPI 1760753024
  NPD (past) Authorized official

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1740649003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VALLIE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122724",
            "telephone_number": "910-599-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VALLIE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122724",
            "telephone_number": "910-599-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVMAR BEHAVIORAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-599-3397",
        "authorized_official_credential": "LPA, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1979",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destined Care LLC
• Roxanne S. Devane, RN, FNP
• Jennifer Devers, P.T.
• William Shane Devers, P.T.
• Diana Shawn Deviney, CNM
• Kylie Dewald, MA
• Kristen Dewberry
• Jennifer Catherine Hickey Dewitte, LCSWA
• Michael James Dewulf, PH.D.
• Vikrant Singh Dhindsa, DO

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.