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MR. RODNEY SAM REYES BA, ADV. CASAC-G
NPI 1407242191
Substance Abuse Rehabilitation Facility in Bronx, NY

Active since April 09, 2015
770 E 176TH ST, BRONX, NY 10460(929) 306-7951 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Oct 13, 2023, Feb 15, 2017 (3 updates tracked since 2017).

About Mr. Rodney Sam Reyes Ba, Adv. Casac-g NPPES

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

MR. RODNEY SAM REYES BA, ADV. CASAC-G (NPI 1407242191) is an individual substance abuse rehabilitation facility provider in Bronx, New York, licensed in New York (28646) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1407242191
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. RODNEY SAM REYESCredential: BA, ADV. CASAC-G
Location Address770 E 176TH STBronx, NY 10460-4617
Mailing Address770 St 176, 630 Concord AvenueBronx, NY 10455-1045 · (929) 306-7951
Phone(929) 306-7951
Sole ProprietorYes
Enumeration DateApril 9, 2015
Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1407242191 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 · 28646
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.
770 E 176TH ST, Bronx, NY 10460
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Other Names 1

Professional Name (2)Mr. Rodney Sam Reyes Ba, Adv. Casac-g

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.

MR. CHRISTOPHER HARRIS CHAMBERS SR. CASAC
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (917) 539-6013
VINCENT THOMAS CASAC
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
MS. KATHERINE VASQUEZ N/A VASQUEZ CASAC-T
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
KORALLY CEPERO RN
Registered Nurse
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 466-8961
MS. STEPHANIE ANN MOHAN FNP
Nurse Practitioner (Family)
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 466-8034
MARC ANTHONY DI LEO PMHNP
Psychiatry & Neurology (Psychiatry)
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 466-8034
NIGEL LEWIS MS MHC-LP, CASAC-M
Counselor (Mental Health)
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
DONDI EVERETTE COLES I CASAC-T
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (917) 683-6529

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 Rodney Reyes's NPI number?

The NPI number for Rodney Reyes is 1407242191. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Mr. Rodney Sam Reyes Ba, Adv. Casac-G.

Where is Rodney Reyes located?

Rodney Reyes practices at 770 E 176th St, Bronx, NY 10460. The listed phone number is (929) 306-7951.

What is Rodney Reyes's specialty?

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

When was this NPI record last updated?

The NPPES record for Rodney Reyes was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.