Timothy E Jervis, CASAC-T CRPA-P - Counselor in New Rochelle, NY

Timothy E Jervis, CASAC-T CRPA-P is a Counselor - Addiction (substance Use Disorder) based in New Rochelle, New York. Timothy E Jervis is licensed to practice in New York (license number 32080) and his current practice location is 20 Sickles Ave, New Rochelle, New York. He can be reached at his office (for appointments etc.) via phone at (914) 613-0700.

NPI number for Timothy E Jervis is 1790317956 and his current mailing address is 14 Amsterdam Pl Apt 4a, Mount Vernon, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790317956.

Contact Information

Timothy E Jervis, CASAC-T CRPA-P
20 Sickles Ave,
New Rochelle, NY 10801-4030
(914) 613-0700
(914) 355-5425

Map and Direction


Healthcare Provider's Profile

Full NameTimothy E Jervis
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location20 Sickles Ave, New Rochelle, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790317956
  • Provider Enumeration Date: 02/06/2020
  • Last Update Date: 02/06/2020

Medical Identifiers

Medical identifiers for Timothy E Jervis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790317956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 32080 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy E Jervis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy E Jervis, CASAC-T CRPA-P
14 Amsterdam Pl Apt 4a,
Mount Vernon, NY 10553-1474

Ph: (646) 271-3281
Timothy E Jervis, CASAC-T CRPA-P
20 Sickles Ave,
New Rochelle, NY 10801-4030

Ph: (914) 613-0700

Reviews and Comments


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