National Provider Identifier
Depaul
Depaul is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 464-8870.
Profile Overview
- NPI
- 1417949850
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- August 22, 2005
- Last Updated
- August 22, 2020
Practice Location
- 774 W Main St
- Rochester, NY 14611-2331
Phone: (585) 464-8870
Mailing Address
- 1931 Buffalo RD
- Rochester, NY 14624-1535
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1417949850
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Depaul
- Mailing Street Address
- 1931 Buffalo RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1535
- Mailing Country
- US
- Mailing Phone
- (585) 426-8000
- Mailing Fax
- (585) 426-8082
- Practice Street Address
- 774 W Main St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2331
- Practice Country
- US
- Practice Phone
- (585) 464-8870
- Practice Fax
- (585) 464-8077
- Enumeration Date
- August 22, 2005
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Whalen
- Authorized Official First Name
- Jim
- Authorized Official Title
- Vice President, Finance
- Authorized Official Phone
- (585) 426-8000
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 00689721 (NY)