Amanda Derosier, M.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

335 Chandler St
Worcester, MA 01602-3441

Phone

(508) 641-9218

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By 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 Arts

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1164846432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 IDA RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043545",
            "telephone_number": "508-641-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023441",
            "telephone_number": "508-641-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSIER",
        "first_name": "AMANDA",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Paul Deprez, M.D.
• Steven James Derleth II
• Kathleen M. Dermady, CNM
• Jordan Elizabeth Dermody
• Kristen M Derosa, NNP-BC, ACNPC-AG
• David J Derosier Jr., ACNPC-AG, CPNP-AC
• Elaine C Derry-Neely, LSW
• Alicia Derry
• Rachel N Derry, F.N.P - B.C.
• Sarah E Derry, RD, LDN

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.