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GARY DEVINE
NPI 1558422949
Counselor - Mental Health in Philadelphia, PA

Active since December 12, 2006PECOS Enrolled
6757 GREENE STREET, OFFICES AT SUMMIT PREBYTERIAN, PHILADELPHIA, PA 19119(267) 428-0321(267) 907-8586 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 9, 2024, Nov 22, 2016 (2 updates tracked since 2016).

About Gary Devine NPPES

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

GARY DEVINE (NPI 1558422949) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC007555) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1558422949
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGARY DEVINE
Location Address6757 GREENE STREET, OFFICES AT SUMMIT PREBYTERIANPhiladelphia, PA 19119-3508
Mailing Address59 E Phil Ellena StPhiladelphia, PA 19119-2223 · (267) 428-0321
Phone(267) 428-0321
Fax(267) 907-8586
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1558422949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC007555
6757 GREENE STREET, Philadelphia, PA 19119
Open in Google Maps ↗

Secondary Practice Location 1

Location 13815 Terrace St, Pilgrim ChurchPhiladelphia, PA 19128-5213 · Phone (267) 428-0321

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Devine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

DEVINE INTERVENTIONS GROUP
Counselor (Mental Health)
6757 GREENE STREET, OFFICES AT SUMMIT PREBYTERIAN, SUITE 200-C
PHILADELPHIA, PA 19119
Philadelphia County (855) 410-8120

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 Gary Devine's NPI number?

The NPI number for Gary Devine is 1558422949. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Gary Devine located?

Gary Devine practices at 6757 Greene Street Offices At Summit Prebyterian, Philadelphia, PA 19119. The listed phone number is (267) 428-0321.

What is Gary Devine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gary Devine enrolled in Medicare?

Yes. Gary Devine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Devine was last updated on August 9, 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.