Dean Joseph Derenzo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009948-01 Issued in NY

Practice address

1492 Richmond Rd
Staten Island, NY 10304-2319

Phone

(347) 503-8625

NPI assigned

Mar 31, 2014

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faith and Hope Psychotherapy, LCSW, PLLC

  dba Faith and Hope Psychotherapy

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1073985214
  NPD

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1215355979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 GRANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063250",
            "telephone_number": "347-702-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042319",
            "telephone_number": "347-503-8625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012108",
            "country_code": "US",
            "telephone_number": "718-447-2935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERENZO",
        "first_name": "DEAN",
        "middle_name": "JOSEPH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009948-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Dephilips, FNP
• Kristin Depietro
• Susan Jennifer Depirro - Paolicelli, MS
• Donna Mae Depola, CASAC, CPP
• Dept of Education,Nyc
• Patrick Anthony Derespinis Sr., M.D.
• Samantha Deriso, LPN
• Jenna Nicole Derleth, OT
• Denise Derosa, PT
• Ericka Derose

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 Nov 15, 2019; 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.