Derrick Medearis is a Mental Health in Berlin, New Jersey. Derrick Medearis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Derrick Medearis is 1063677052. The last update date is 2008-07-19.
Derrick Medearis's current location address is 128 Cross Keys Rd, Berlin, New Jersey. You can contact this provider via phone number 8562101511. The mailing address for Derrick Medearis is 128 Cross Keys Rd, Berlin, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Medearis |
|---|---|
| Address | 128 Cross Keys Rd, Berlin, New Jersey |
| Phone Number | 8562101511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063677052 |
|---|---|
| Provider Enumeration Date | 2008-07-19 |
| Last Updated Date | 2008-07-19 |
Provider Mailing Address Detail
| Address | 128 Cross Keys Rd |
|---|---|
| City | Berlin |
| State | New Jersey (NJ) |
| Post Code | 80099201 |
| Phone Number | 8562101511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Derrick Medearis by the Centers for Medicare & Medicaid Services?
The Derrick Medearis has been issued the NPI (National Provider Identifier) 1063677052 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Derrick Medearis located?
The Derrick Medearis is located at 128 Cross Keys Rd, Berlin, NJ 80099201.
What is Derrick Medearis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derrick Medearis is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063677052 to Derrick Medearis?
The Centers for Medicare & Medicaid Services originally issued the 1063677052 to Derrick Medearis on 2008-07-19.
As of what date were the details related to Derrick Medearis most recently updated or revised?
The information pertaining to Derrick Medearis, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-19.
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