Eileen Dewey

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

05705 Issued in MD

Practice address

5570 Sterrett PL Ste 205
Columbia, MD 21044-2649

Phone

(410) 730-1333

NPI assigned

Jan 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1972191369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WILDERNESS DR APT 139",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052607",
            "telephone_number": "239-302-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL STE 205",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442649",
            "telephone_number": "410-730-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "EILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "05705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLUMBIA  ADDICTIONS CENTER",
            "identifier": "1366585739",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ctc@columbia-treatment.com",
            "affiliation": "N",
            "address_1": "5570 Sterrett Pl Ste 205",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Destiny Healthcare and Wellness Limited Liability Company
• Daphne Destiny
• Rajwinder Singh Deu, M.D.
• Kelsey Hope Deutsch
• Rachel Devincentz
• Angela Dews
• Peter Robert Dexheimer, DC
• Chayan Dey
• Ruby Dey, M.D., M.P.H.
• Tara Deyampert, M.D.

• Addiction (Substance Use Disorder) Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.