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JEFFREY SCOTT DEROUIN
NPI 1760902225
Counselor - Addiction (Substance Use Disorder) in Pawtucket, RI

Active since June 26, 2017
82 POND ST, PAWTUCKET, RI 02860(401) 727-1287 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

About Jeffrey Scott Derouin NPPES

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

JEFFREY SCOTT DEROUIN (NPI 1760902225) is an individual addiction (substance use disorder) provider in Pawtucket, Rhode Island and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1760902225
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEFFREY SCOTT DEROUIN
Location Address82 POND STPawtucket, RI 02860-4462
Mailing Address82 Pond StPawtucket, RI 02816 · (401) 727-1287
Phone(401) 727-1287
Sole ProprietorYes
Enumeration DateJune 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1760902225 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
82 POND ST, Pawtucket, RI 02860
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Other Providers at the Same Location NPPES 7

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

DENISE MARIE HOWARD LCDP
Counselor (Addiction (Substance Use Disorder))
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 727-1287
MS. FLORENCE LAPORTE MS LADC CCS
Counselor (Addiction (Substance Use Disorder))
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 727-1287
BHG LVII, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 727-1287
KRISTINA HARRIOTT LAVOIE LCSW
Social Worker (Clinical)
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
GAIL RANIERI LICSW
Social Worker (Clinical)
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 365-6103
TARA MELISSA MCCONKEY LICSW
Social Worker (Clinical)
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 365-6103
VANESSA COYNE MASTERS
Counselor (Mental Health)
82 POND ST
PAWTUCKET, RI 02860
Providence County (401) 725-0450

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 Jeffrey Derouin's NPI number?

The NPI number for Jeffrey Derouin is 1760902225. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Jeffrey Derouin located?

Jeffrey Derouin practices at 82 Pond St, Pawtucket, RI 02860. The listed phone number is (401) 727-1287.

What is Jeffrey Derouin'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 Jeffrey Derouin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.