TIMOTHY E JERVIS (NPI# 1790317956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790317956 |
| Entity Type | Individual |
| Full Name | TIMOTHY E JERVIS |
| Credential | CASAC-T CRPA-P |
| Practice Address |
20 Sickles Ave New Rochelle NY 10801-4030 |
| Mailing Address |
14 Amsterdam Pl Apt 4a Mount Vernon NY 10553-1474 |
| Practice Telephone | 9146130700 |
| Practice Fax Number | 9143555425 |
| Mailing Telephone | 6462713281 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
32080 | NY | Behavioral Health & Social Service Providers |
| Street Address |
20 SICKLES AVE |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10801-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770885451 | The Guidance Center Cdtc | Clinic/Center | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2010-12-01 |
| 1790318194 | Jackie Ann Cartwright | Counselor | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2020-02-14 |
| 1710445648 | Michael John Demaio | Registered Nurse | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2019-03-11 |
| 1114498482 | Christopher Stewart | Registered Nurse | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2018-12-16 |
| 1992202030 | Joseph Charles Boxer | Peer Specialist | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2018-04-06 |
| 1760985212 | Marcus Malcolm Vassell | Counselor | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2018-03-12 |
| 1538673751 | Chrystal Dawn Campbell | Registered Nurse | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2017-11-27 |
| 1326428830 | Terry Bynes | Counselor | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2015-06-01 |
| 1336547504 | Brianna Burrell | Licensed Practical Nurse | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2014-12-19 |
| 1841696671 | Neketa Mcpherson | Registered Nurse | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769654 | Jc & M Inc. | Taxi | 12 Rosedale St., New Rochelle, NY 10801 | 2020-01-24 |
| 1114565678 | Paul Defelice | Physical Therapist | 140a Suite 2 Lockwood Ave, New Rochelle, NY 10801 | 2019-12-16 |
| 1144872425 | Maria Jose Bernal Riera | Student in an Organized Health Care Education/Training Program | 16 Guion Pl New Rochelle, Ny, New Rochelle, NY 10801 | 2019-07-16 |
| 1639730757 | Raina Niles | Behavior Technician | 466 Maint Street Suite Ll20, New Rochelle, NY 10801 | 2019-06-28 |
| 1649750241 | Deborah Ann Grace | Psychologist | 54 Hilltop Avenue, New Rochelle, NY 10801 | 2018-08-14 |
| 1801386974 | Fatima Rehman | Physical Therapist | 1 Odell Place, New Rochelle, NY 10801 | 2018-05-15 |
| 1205324753 | Narayan Pharmacy 3 LLC | Pharmacy | 175 Memorial Hwy Ste 1-14, New Rochelle, NY 10801 | 2018-04-30 |
| 1750805578 | Alex Judah | Behavioral Analyst | 466 Main St Lowr Level20, New Rochelle, NY 10801 | 2017-08-02 |
| 1740703255 | Rosaria Del Monte | Specialist | 145 Huguenot Street Suite 404, All About Kids, New Rochelle, NY 10801 | 2017-07-18 |
| 1063934420 | Mustard Seed Kids Incorporated | In Home Supportive Care | 177 East Main Street, Suite 399, New Rochelle, NY 10801 | 2017-07-07 |
| Find all providers in zip 10801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861909814 | Journey To Pathways, Lcsw, Pllc | Counselor | 175 Huguenot St Ste 200, New Rochelle, NY 10801-7761 | 2017-12-29 |
| 1477005163 | Jose Martinez | Counselor | 69 Lincoln St, New Rochelle, NY 10801-4336 | 2016-10-27 |
| 1013303908 | Volunteers of America - Greater New York | Counselor | 395 Webster Ave, New Rochelle, NY 10801-3200 | 2015-04-08 |
| 1326383902 | Nicole Marie Mako | Counselor | 620 Pelham Rd, New Rochelle, NY 10805-1451 | 2012-12-07 |
| 1689877052 | Mark Michael Armiento | Counselor | 1041 Weaver St, New Rochelle, NY 10804-1819 | 2007-06-06 |
| 1760092324 | Amanda Corwin | Counselor | 3 Cottage Pl, New Rochelle, NY 10801-4201 | 2020-08-07 |
| 1790318194 | Jackie Ann Cartwright | Counselor | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2020-02-14 |
| 1114561784 | Louis Anthony Dimonaco | Counselor | 3 Cottage Place, New Rochelle, NY 10801 | 2019-11-06 |
| 1285106690 | Ana V Morel | Counselor | 3 Cottage Pl, New Rochelle, NY 10801-4201 | 2018-12-24 |
| 1760985212 | Marcus Malcolm Vassell | Counselor | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2018-03-12 |
| Find all providers in NEW ROCHELLE | ||||
| City | NEW ROCHELLE |
| Zip Code | 10801 |
Please comment or provide details below to improve the information on TIMOTHY E JERVIS.
| 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.