Derek Underwood

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00056627 Issued in WA

Practice address

407 S 17TH Ave
Yakima, WA 98902-3803

Phone

(503) 388-6990

NPI assigned

Jan 10, 2007

Sex

Male

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

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1538219928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S 17TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023803",
            "telephone_number": "503-388-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 17TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023803",
            "telephone_number": "503-388-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00056627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Allen Uhlman, M.D.
• Reese A Ullas, PA-C
• J Louise Ullom, MD
• Ummelina Day Spa Yakima
• Ummelina Yakima, LLC
• Lindsey M Underwood, CPC
• Union Gospel Mission of Yakima Wash
• Garrett Upton, LMHCA
• Lisa M Upton, M.ED. AAC
• Lindsey Vaagen, LICSW

• Mental Health Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.