Jessa Derania, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO3191 Issued in ME

Practice address

35 Medical Center Pkwy
Augusta, ME 04330-8160

Phone

(207) 248-0097

Fax

(207) 248-0094

NPI assigned

Jun 8, 2016

Sex

Female

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

Enrolled in LA, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380

  ME

  Medicare reassignment NPD
• Deepblue Wellness LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Metairie, LA
  • NPI 1518460211

  LA

  Medicare reassignment NPD
• Mainegeneral Medical Center

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD
• Lashekia Toussaint

  • Psychiatric/Mental Health Nurse Practitioner
  • Kaplan, LA
  • NPI 1184245540
  NPD (past)
• Neuropsychiatry Services LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Kaplan, LA
  • NPI 1093219081
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1285083550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-248-0097",
            "fax_number": "207-248-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-248-0097",
            "fax_number": "207-248-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERANIA",
        "first_name": "JESSA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "313286",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Deming-Berr, DO, MPH
• Michael W Deming, LMFT
• Jeffrey W. Dempski, D.O.
• Den Dent Al. LLC
• Dept. of Veterans Affairs
• Brianna Annina Desgrosseilliers, DPT
• Linda A. Deshetler, PHD
• Rose Marie Desrosiers, RN
• Stephen M Desrosiers, D.M.D.
• Miriah Lee Deveau

• All providers in Augusta, ME
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.