MR. DEREK XAVIER SIMMONS (NPI# 1730556010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730556010 |
Entity Type | Individual |
Full Name | MR. DEREK XAVIER SIMMONS |
Practice Address |
2 Pittman Ln Sicklerville NJ 08081-2009 |
Practice Telephone | 5519981216 |
Mailing Telephone | 5519981216 |
Enumeration Date | 2015-08-21 |
Last Update Date | 2015-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467916510 | Derek Simmons | Specialist/Technologist | 7912 Hunt Rd, Springfield, IL 62712-8995 | 2019-01-23 |
1366821993 | Derek Simmons | Nurse Practitioner | 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 | 2015-05-28 |
Street Address |
2 PITTMAN LN |
City | SICKLERVILLE |
State | NJ |
Zip Code | 08081-2009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063078723 | Romar, LLC | Supports Brokerage | 2 Pittman Ln, Sicklerville, NJ 08081-2009 | 2019-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771031 | Clack Associates, LLC. | Counselor | 603 Liberty Place, Sicklerville, NJ 08081 | 2019-10-13 |
1164901351 | Devereux Foundation | Day Training, Developmentally Disabled Services | 1601 - 1603 Sicklerville Road, Sicklerville, NJ 08081 | 2018-08-09 |
1467930990 | Brooke Schatzman | Lactation Consultant, Non-RN | 112 Hampton Court, Sicklerville, NJ 08081 | 2018-08-06 |
1831686443 | Grandular Senior Living | Day Training/Habilitation Specialist | 542 Berlin Cross Key Road Ste 3-270, Sicklerville, NJ 08081 | 2018-04-18 |
1942718465 | Community Dental of Sicklerville, P.C. | Dentist | 513 Cross Keys Road, Sicklerville, NJ 08081 | 2018-01-18 |
1831609304 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brandon Court, Sicklerville, NJ 08081 | 2017-10-10 |
1710402631 | Premiere Behavioral Supports | Behavior Technician | 404 Independence Blvd, Sicklerville, NJ 08081 | 2017-08-11 |
1285167346 | A Better Concept | Community/Behavioral Health | 20 Wildcat Branch Dr, Sicklerville, NJ 08081 | 2017-04-06 |
1558712299 | Shaquira Briggs | Counselor | 40 Vernon Court, Sicklerville, NJ 08081 | 2016-06-23 |
1588012496 | Grace Musokae | Pharmacist | 412 Sicklerville Rd, Jolin's Pharmacy #103, Sicklerville, NJ 08081 | 2016-06-01 |
Find all providers in zip 08081 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
1568097327 | Jessica Kurczewski | Counselor | 29 Village Green Ln, Sicklerville, NJ 08081-1629 | 2020-03-11 |
1659831782 | Safeway Independent Services, LLC | Counselor | 130 Village Green Ln, Sicklerville, NJ 08081-1641 | 2019-03-24 |
1801355565 | Lorraine Frances Westenberger | Counselor | 557 Williamstown Rd, Sicklerville, NJ 08081-1825 | 2019-03-13 |
1225504558 | Jason Bonas | Counselor | 24 Madison Ln, Sicklerville, NJ 08081-4409 | 2018-10-14 |
1720565047 | Mailon L Demby | Counselor | 1600 Liberty Pl, Sicklerville, NJ 08081-5705 | 2018-07-20 |
1558712299 | Shaquira Briggs | Counselor | 40 Vernon Court, Sicklerville, NJ 08081 | 2016-06-23 |
1932553922 | Jenny C Robertson | Counselor | 3111 Route 42 Ste B, Sicklerville, NJ 08081 | 2016-04-16 |
1609236603 | Esther Adeleke | Counselor | 171 Breckenridge Dr, Sicklerville, NJ 08081-3240 | 2016-03-03 |
1801260211 | Tia Joyner | Counselor | 501 Chews Landing Rd, Apt 259, Sicklerville, NJ 08081-1782 | 2015-11-23 |
Find all providers in SICKLERVILLE |
City | SICKLERVILLE |
Zip Code | 08081 |
Please comment or provide details below to improve the information on MR. DEREK XAVIER SIMMONS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.