Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK MEDEARIS
Active Sole ProprietorDERRICK MEDEARIS is a Mental Health Counselor healthcare provider located in BERLIN, New Jersey. NPI 1063677052 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BERLIN, NJ
Registration Details
- NPI Number
- 1063677052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2008 (18.029213477057 yrs)
- Last Updated
- Jul 19, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 CROSS KEYS RDBERLIN, NJ, 080099201Browse NJ providers · Browse ZIP 08009
- Phone
- 8562101511
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BERLIN, NJ
| Name | Credential | NPI |
|---|---|---|
| ALLISON TEER | — | 1649434143 |
| ANGELIC SUAREZ | — | 1083878359 |
| DEBBIE HOLM | — | 1336304328 |
| CRYSTAL CHARLEY | — | 1619132602 |
| SHANNON COLESTOCK | — | 1255596243 |
| MARK STEITZ JR. | — | 1881859874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.