ANTONINA DEVERUE
NPI 1235990789
Counselor - Professional in Philadelphia, PA

Q: What is Antonina Deverue's NPI number?

The NPI number for Antonina Deverue is 1235990789. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Antonina Deverue's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Antonina Deverue was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 22, 2024

4641 E ROOSEVELT BLVD, PHILADELPHIA, PA 19124(215) 831-2962 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Antonina Deverue NPPES

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

ANTONINA DEVERUE (NPI 1235990789) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC008783) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1235990789

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANTONINA DEVERUE

Location Address4641 E ROOSEVELT BLVDPhiladelphia, PA 19124-2343

Mailing Address3895 Fairdale RdPhiladelphia, PA 19154-3439

Phone(215) 831-2962

Sole ProprietorNo

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1235990789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC008783

4641 E ROOSEVELT BLVD, Philadelphia, PA 19124

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Other Providers at the Same Location NPPES 3

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

SUNDEEP SINGH

Nurse Practitioner (Family)

4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-4600

JOSHUA NICKERSON DO

Psychiatry & Neurology (Psychiatry)

4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (800) 889-0548

STEVENS WILLIAMS LMFT

Marriage & Family Therapist

4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (800) 889-0548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonina Deverue's NPI number?

The NPI number for Antonina Deverue is 1235990789. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Antonina Deverue located?

Antonina Deverue practices at 4641 E Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (215) 831-2962.

What is Antonina Deverue's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Antonina Deverue was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.