Darryl K Speights, MBA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

190 Chelsea Ave
Long Branch, NJ 07740-6712

Phone

(732) 870-8500

Fax

(732) 222-9315

NPI assigned

Apr 13, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

Practice roles

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.

• Philip House Outpatient Services

  • Substance Abuse Rehabilitation Facility
  • Long Branch, NJ
  • NPI 1902043052
  NPD (past)

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1831885789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CONOVER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461003",
            "telephone_number": "732-946-3030",
            "fax_number": "732-946-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CHELSEA AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406712",
            "telephone_number": "732-870-8500",
            "fax_number": "732-222-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIGHTS",
        "first_name": "DARRYL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jacklyn So, MD
• Pablo Jose Socias Pappaterra
• Aruba Sohail
• Evgeniya Sokolovskaya, D.O, M.D
• Gilbert Solitare, M.D.
• Charles Louis Spellman, DO
• Suzanne Spernal, APN
• Joshua Lyn Spruell, MD
• Rafael Haim Srour
• Leanna St. Arnauld, OTR

• Addiction (Substance Use Disorder) Counselor in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.