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DEVON RICHARD BRADY
NPI 1902420375
Counselor - Mental Health in Kingston, NY

Active since June 02, 2020PECOS Enrolled
15 LUCAS AVE, KINGSTON, NY 12401(845) 392-6203 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devon Richard Brady NPPES

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

DEVON RICHARD BRADY (NPI 1902420375) is an individual mental health provider in Kingston, New York, licensed in New York (13307) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902420375
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDEVON RICHARD BRADY
Location Address15 LUCAS AVEKingston, NY 12401-3707
Mailing AddressPo Box 99Connelly, NY 12417-0099 · (845) 392-6203
Phone(845) 392-6203
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1902420375 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 NY · 13307
15 LUCAS AVE, Kingston, NY 12401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devon Richard Brady is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567994494
PECOS Enrollment IDI20241017000568
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 3

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

ANASTASIA DUVAL-YONNETTI MA, EDM, LMHC
Counselor (Mental Health)
15 LUCAS AVE
KINGSTON, NY 12401
Ulster County (617) 309-7245
FRANCESCA SILLS
Counselor (Mental Health)
15 LUCAS AVE
KINGSTON, NY 12401
Ulster County (845) 202-0264
NICHOLAS JUAN LEMUS MHC-LP
Counselor (Mental Health)
15 LUCAS AVE
KINGSTON, NY 12401
Ulster County (845) 863-4588

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 Devon Brady's NPI number?

The NPI number for Devon Brady is 1902420375. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Devon Brady located?

Devon Brady practices at 15 Lucas Ave, Kingston, NY 12401. The listed phone number is (845) 392-6203.

What is Devon Brady's specialty?

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

Is Devon Brady enrolled in Medicare?

Yes. Devon Brady is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Devon Brady was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.