Individual provider Active NPI

Devon Hynson Sr.

  • Group Psychotherapy Psychologist
  • Wilmington, DE
National Provider Identifier
1982070967
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
463089081 Issued in DE
Practice address
2500 W 4TH St
Suite 1
Wilmington, DE 19805-3367
Phone
(302) 656-1090
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 463089081 DE
Group Psychotherapy Psychologist 103TP2701X 463089081 DE Primary
Case Manager/Care Coordinator 171M00000X 463089081 DE

Addresses

Primary practice location

2500 W 4TH St
Suite 1
Wilmington, DE 19805-3367

Mailing address

2500 W 4TH St
Suite 1
Wilmington, DE 19805-3367
Phone (302) 656-1090

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
463089081DEMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1982070967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 4TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053367",
            "telephone_number": "302-656-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 4TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053367",
            "telephone_number": "302-656-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNSON",
        "first_name": "DEVON",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DE",
            "license": "463089081",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "DE",
            "license": "463089081",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DE",
            "license": "463089081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.