MR. DERRICK COBB CASAC
NPI 1205259892
Substance Abuse Rehabilitation Facility in Westhampton Beach, NY

Q: What is Derrick Cobb's NPI number?

The NPI number for Derrick Cobb is 1205259892. It was assigned to this individual provider in the NPPES registry on February 2, 2014.

Q: What is Derrick Cobb's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Cobb was last updated on February 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2014

7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978(631) 205-8044 Get Directions Write a Review

NPPES record last updated: February 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Derrick Cobb Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DERRICK COBB CASAC (NPI 1205259892) is an individual substance abuse rehabilitation facility provider in Westhampton Beach, New York, licensed in New York (26043) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1205259892

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameMR. DERRICK COBBCredential: CASAC

Location Address7 SEAFIELD LNWesthampton Beach, NY 11978-2714

Mailing AddressPo Box 523Mastic, NY 11950-0523 · (631) 205-8044

Phone(631) 205-8044

Sole ProprietorYes

Enumeration DateFebruary 2, 2014

✔ NPI 1205259892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in NY · 26043

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

7 SEAFIELD LN, Westhampton Beach, NY 11978

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIME TRAVERS LPN

Licensed Practical Nurse