Timothy Jervis, CASAC-T CRPA-P
NPI 1790317956 · Addiction (Substance Use Disorder) Counselor · New Rochelle, NY
Timothy Jervis, CASAC-T CRPA-P is a Addiction (Substance Use Disorder) Counselor provider in New Rochelle, NY (NPI 1790317956).
Provider details
- NPI number
- 1790317956
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CASAC-T CRPA-P
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32080 (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
6 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
- 2020-02-06
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is Timothy Jervis's NPI number?
- Timothy Jervis's National Provider Identifier (NPI) is 1790317956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Jervis's specialty?
- Timothy Jervis is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Timothy Jervis located?
- Timothy Jervis's practice location on file with NPPES is 20 Sickles Ave, New Rochelle, NY 10801-4030.
- What is Timothy Jervis's phone number?
- The practice phone number listed in the NPPES registry for Timothy Jervis is (914) 613-0700.
- Is Timothy Jervis's NPI active?
- Yes — Timothy Jervis's NPI (1790317956) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.