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DEPAUL
NPI 1417949850
Counselor - Addiction (Substance Use Disorder) in Rochester, NY

Active since August 22, 2005
774 W MAIN ST, ROCHESTER, NY 14611(585) 464-8870(585) 464-8077 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Depaul NPPES

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

DEPAUL (NPI 1417949850) is a healthcare organization registered as an addiction (substance use disorder) in Rochester, New York and active in the NPI registry since August 2005. The organization lists Jim Whalen, Vice President, Finance, as its authorized official.

NPPES Registry Identity

NPI1417949850
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameDEPAUL
Location Address774 W MAIN STRochester, NY 14611-2331
Mailing Address1931 Buffalo RdRochester, NY 14624-1535 · (585) 426-8000 · Fax (585) 426-8082
Phone(585) 464-8870
Fax(585) 464-8077
Organization SubpartNo
Authorized OfficialJim WhalenVice President, Finance · (585) 426-8000
Enumeration DateAugust 22, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417949850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
774 W MAIN ST, Rochester, NY 14611
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Other Identifiers 1

Medicaid00689721NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MAUREEN L MOHNEY PA
Physician Assistant (Medical)
774 W MAIN ST
ROCHESTER, NY 14611
Monroe County (585) 279-5601
ROBERT L MICK MD
Internal Medicine (Addiction Medicine)
774 W MAIN ST
ROCHESTER, NY 14611
Monroe County (585) 279-5412
WENDELYN L. RUIZ FNP-C
Nurse Practitioner (Family)
774 W MAIN ST
ROCHESTER, NY 14611
Monroe County (585) 464-8870

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 Depaul's NPI number?

The NPI number for Depaul is 1417949850. It was assigned to this organization in the NPPES registry on August 22, 2005.

Where is Depaul located?

Depaul is located at 774 W Main St, Rochester, NY 14611. The listed phone number is (585) 464-8870.

What is Depaul's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Depaul was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.