Maryann Slater Dernlan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7711 N Military TRL Ste 1014
West Palm Beach, FL 33410-6506

Phone

(732) 742-3833

NPI assigned

Jan 4, 2023

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

Practice roles

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.

• Replenish and Renew Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Palm Beach, FL
  • NPI 1033908603
  NPD Authorized official

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1295448330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 54TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118510",
            "telephone_number": "732-742-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 N MILITARY TRL STE 1014",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106506",
            "telephone_number": "732-742-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERNLAN",
        "first_name": "MARYANN",
        "middle_name": "SLATER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derma Medical Group Inc
• Dermatology Associates of the Palm Beaches PLLC
• Dermatology of Century Village WPB LLC
• Dermatology of Palm Beach PLLC
• Dermnow PA
• Deronceler,LLC
• Corine Deronvil, APRN, FNP-BC
• Roger Deruiter, BS
• Jaymin Atulkumar Desai, PT, DPT
• Shivam Desai, DC

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.