DERRICK SSENKUSU
NPI 1669331484
Technician - Attendant Care Provider in Phoenix, AZ

Active since January 17, 2026
1717 W NORTHERN AVE STE 101, PHOENIX, AZ 85021(818) 810-8120 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Ssenkusu NPPES

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

DERRICK SSENKUSU (NPI 1669331484) is an individual attendant care provider provider in Phoenix, Arizona and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1669331484
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameDERRICK SSENKUSU
Location Address1717 W NORTHERN AVE STE 101Phoenix, AZ 85021-5400
Mailing Address1717 W Northern Ave Ste 101Phoenix, AZ 85021-5400
Sole ProprietorYes
Enumeration DateJanuary 17, 2026
NPPES CertifiedJanuary 17, 2026
NPI 1669331484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1717 W NORTHERN AVE STE 101, Phoenix, AZ 85021

Other Providers at the Same Location NPPES 8

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

Behavior Technician
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Counselor
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Counselor (Addiction (Substance Use Disorder))
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Community/Behavioral Health
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Counselor (Addiction (Substance Use Disorder))
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Counselor (Addiction (Substance Use Disorder))
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Counselor (Addiction (Substance Use Disorder))
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021
Non-emergency Medical Transport (VAN)
1717 W NORTHERN AVE STE 101
PHOENIX, AZ 85021

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 Derrick Ssenkusu's NPI number?

The NPI number for Derrick Ssenkusu is 1669331484. It was assigned to this individual provider in the NPPES registry on January 17, 2026.

Where is Derrick Ssenkusu located?

Derrick Ssenkusu practices at 1717 W Northern Ave Ste 101, Phoenix, AZ 85021. The listed phone number is (818) 810-8120.

What is Derrick Ssenkusu's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Derrick Ssenkusu was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.