Joanne Antinore Dermady, MS, NCC, LMHC, CEAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000641 Issued in NY

Practice address

572 Titus Ave
Rochester, NY 14617-3519

Phone

(585) 472-2484

Fax

(585) 475-9516

NPI assigned

Aug 12, 2006

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1144232737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 WINONA BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172720",
            "telephone_number": "585-475-9807",
            "fax_number": "585-475-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-472-2484",
            "fax_number": "585-475-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMADY",
        "first_name": "JOANNE",
        "middle_name": "ANTINORE",
        "credential": "MS, NCC, LMHC, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derden LLC
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• Peggy S. Derivan, MS, LMHC
• Meghan Rose Derleth, MD
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• Dermatology and Cosmetic Practice of Rochester PLLC
• Dermatology Associates of Rochester, PC
• Dermatology Partners of Western New York, LLP
• Dermatopathology Associates

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.