DEREK BYNUM
NPI 1821532557
Counselor - Addiction (Substance Use Disorder) in Santa Monica, CA
Active since December 15, 2016
About Derek Bynum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK BYNUM (NPI 1821532557) is an individual addiction (substance use disorder) provider in Santa Monica, California and active in the NPI registry since December 2016.
NPPES Registry Identity
NPI1821532557
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEREK BYNUM
Location Address907 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address907 Pico BlvdSanta Monica, CA 90405-1326
Phone(310) 314-6200
Sole ProprietorYes
Enumeration DateDecember 15, 2016
Last NPPES UpdateJanuary 6, 20172 updates tracked since enumeration
✔ NPI 1821532557 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
907 PICO BLVD, Santa Monica, CA 90405
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.
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821532557, enumerated as an "individual" on December 15, 2016.
The provider is located at 907 PICO BLVD SANTA MONICA, CA 90405 and the phone number is (310) 314-6200.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).