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Everest Deadlock

Mental Health · La Fayette

NPI 1588449300

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Everest Deadlock’s office at (408) 826-9467 to ask if they take your plan before you enroll.

Professional record

NPI
1588449300
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 101YM0800X (101YM0800X); Student in a training program (390200000X)
Mailing address
2507 US Route 11, La Fayette, NY, 13084
NPI first listed
2023-08-29
NPI last updated
2025-07-14
NPI record certified
2025-07-14

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 499 Loma Alta Ave, Los Gatos, CA, 95030