Jessica L Dery, MED

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

126 Phoenix Ave
3Rd Floor
Lowell, MA 01852-4931

Phone

(978) 513-2387

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1093003519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "address_2": "3RD FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524931",
            "telephone_number": "978-513-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "address_2": "3RD FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524931",
            "telephone_number": "978-513-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deriviere Mental Health Professionals
• Greg A Deroma, RPH
• Margaret E Derosa, RD LDN
• Susan M Derosa, PT
• Carole Ann S Dery, M.S.
• Deepthi Desai, MD
• Sweta A. Desai, MD
• Vidhi K Desai, FNP-BC
• Vanessa Desani
• Kelly Anne Desantis

• Community/Behavioral Health Agency in Lowell, MA
• Providers in Lowell, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.