Elyse Dermer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 13022 Issued in FL

Practice address

169 E Flagler St Ste 1300
Miami, FL 33131-1205

Phone

(786) 319-3456

Fax

(305) 381-6001

NPI assigned

Mar 23, 2015

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elysedermer@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1497149074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E FLAGLER ST STE 1300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311205",
            "telephone_number": "786-319-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E FLAGLER ST STE 1300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311205",
            "telephone_number": "786-319-3456",
            "fax_number": "305-381-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMER",
        "first_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derm 360, LLC
• Dermaclinic LLC
• Dermaluxe Clinic Corp
• Dermatology Network Solutions of Florida, LLC
• Dermatology Network Solutions, LLC
• Harrison Dermer, MD
• John Derosimo, MD
• Lisa Marie Derosimo, MD MS
• Taylor Sky Derris, M.S. CFY SLP
• Ruth Dervil

• Mental Health Counselor in Miami, FL
• Providers in Miami, 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 Mar 23, 2015; 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.