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BERVICK DECULUS
NPI 1790087435
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since December 01, 2010
3210 W JEFFERSON BLVD, LOS ANGELES, CA 90018(323) 731-4981(323) 731-4958 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bervick Deculus NPPES

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

BERVICK DECULUS (NPI 1790087435) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1790087435
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBERVICK DECULUS
Location Address3210 W JEFFERSON BLVDLos Angeles, CA 90018-3230
Mailing Address3210 W Jefferson BlvdLos Angeles, CA 90018-3230 · (323) 731-4981 · Fax (323) 731-4958
Phone(323) 731-4981
Fax(323) 731-4958
Sole ProprietorNo
Enumeration DateDecember 1, 2010
✔ NPI 1790087435 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
3210 W JEFFERSON BLVD, Los Angeles, CA 90018
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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.

MARIA EUGENIA VALDES
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
VEDA CURRY
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
THE SOLUTIONS A&D RECOVERY FOUNDATION
Counselor
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
LAMAR PORTER
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
LATASHA SNEED
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
MR. JON RASHAD KEYS
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
THEODORE L YCOY
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (323) 731-4981
TINA BRANCH
Counselor (Addiction (Substance Use Disorder))
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018
Los Angeles County (626) 533-2647

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 Bervick Deculus's NPI number?

The NPI number for Bervick Deculus is 1790087435. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Bervick Deculus located?

Bervick Deculus practices at 3210 W Jefferson Blvd, Los Angeles, CA 90018. The listed phone number is (323) 731-4981.

What is Bervick Deculus'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 Bervick Deculus was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.