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JEROLD RIVERS
NPI 1972351294
Counselor - Addiction (Substance Use Disorder) in Deer Park, NY

Active since May 10, 2024
770 GRAND BLVD, DEER PARK, NY 11729(631) 392-4357 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerold Rivers NPPES

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

JEROLD RIVERS (NPI 1972351294) is an individual addiction (substance use disorder) provider in Deer Park, New York and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1972351294
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEROLD RIVERS
Location Address770 GRAND BLVDDeer Park, NY 11729-5750
Mailing Address332 Holbrook RdLake Ronkonkoma, NY 11779-1815 · (631) 504-7672
Phone(631) 392-4357
Sole ProprietorYes
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1972351294 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
770 GRAND BLVD, Deer Park, NY 11729
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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.

BEHAVIORAL ENHANCEMENT & SUBSTANCE ABUSE MEDICINE TREATMENT PLLC
Community/Behavioral Health
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
SUSAN ZALESKI
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
GERALD MCCLARY
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
ANA GIANGRANDE
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
COURTNEY DEFEO CASAC-T
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
JOSEPH DEL VALLE CASAC
Counselor
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
MARIA CRISTINA LIGUORI LCSW
Social Worker (Clinical)
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
DEBORAH M PETRY LCSW-R
Social Worker (Clinical)
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357

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 Jerold Rivers's NPI number?

The NPI number for Jerold Rivers is 1972351294. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Jerold Rivers located?

Jerold Rivers practices at 770 Grand Blvd, Deer Park, NY 11729. The listed phone number is (631) 392-4357.

What is Jerold Rivers'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 Jerold Rivers was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.