Marvin Theodore
NPI 1700393527 · Addiction (Substance Use Disorder) Counselor · Staten Island, NY
Marvin Theodore is a Addiction (Substance Use Disorder) Counselor provider in Staten Island, NY (NPI 1700393527).
Provider details
- NPI number
- 1700393527
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33621 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-02
- Last updated
- 2018-01-02
Frequently asked questions
- What is Marvin Theodore's NPI number?
- Marvin Theodore's National Provider Identifier (NPI) is 1700393527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marvin Theodore's specialty?
- Marvin Theodore is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Marvin Theodore located?
- Marvin Theodore's practice location on file with NPPES is 263 Port Richmond Ave, Staten Island, NY 10302-1704.
- What is Marvin Theodore's phone number?
- The practice phone number listed in the NPPES registry for Marvin Theodore is (718) 981-8117.
- Is Marvin Theodore's NPI active?
- Yes — Marvin Theodore's NPI (1700393527) is active in the NPPES registry as of the last update on 2018-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.