Bobby Debatt

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

720 Hancock Rd
Bullhead City, AZ 86442-5004

Phone

(928) 234-7030

NPI assigned

Aug 10, 2022

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

Practice roles

Locations

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.

• Westcare Arizona I, Inc.

  • Community/Behavioral Health Agency
  • Bullhead City, AZ
  • NPI 1467637199
  NPD
• Westcare Arizona I, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bullhead City, AZ
  • NPI 1346869039
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1962130765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HANCOCK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HANCOCK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425004",
            "telephone_number": "928-234-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Agate Road",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "86442",
            "country_code": "US",
            "telephone_number": "928-763-1945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBATT",
        "first_name": "BOBBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Darland, B.A.
• Lisa Darrah, FNP
• John K Davis, DO
• Michael Arthur Davis, D.O.
• Rosemary Antoinette Davis
• Osvelia Gonzalez Deeds, PHD
• Deeflat LLC
• Deeflat LLC
• Deeflat LLC
• Branden Angelo Demarco, EDS

• Addiction (Substance Use Disorder) Counselor in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.