MR. DERRICK A STROUD NPI 1528653649

NPI Information

  • NPI: 1528653649
  • Provider Name: MR. DERRICK A STROUD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 810 CLASSON AVE
    BROOKLYN, NY
    ZIP 11238
  • Phone: (718) 230-5100

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NPI Details

MR. Derrick A Stroud is an addiction (substance use disorder) counselor in Brooklyn, NY. MR. Derrick A Stroud NPI is 1528653649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

810 CLASSON AVE
BROOKLYN, NY
ZIP 11238-102
Phone: (718) 230-5100
Fax: (718) 230-5425

The NPI 1528653649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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