Deryn Hults

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015017 Issued in NY

Practice address

1777 Veterans Memorial Hwy
Islandia, NY 11749-1555

Phone

(631) 630-6439

NPI assigned

Oct 12, 2020

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

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1558969691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WEATHERBY LN",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224549",
            "telephone_number": "516-998-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 VETERANS MEMORIAL HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491555",
            "telephone_number": "631-630-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Weatherby Ln",
            "address_purpose": "LOCATION",
            "city": "Central Islip",
            "state": "NY",
            "postal_code": "117224549",
            "country_code": "US",
            "telephone_number": "516-998-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULTS",
        "first_name": "DERYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Guadalupe Hernandez
• Krista Marie Herz
• Patricia Herz, AU.D.
• David Alexander Higgins
• Janice Huey, M.S. CCC-SLP, TSSLD
• John Edward Hunt III, MD
• Infinity Care Supplies Inc.
• Infinity Med Supply Inc
• Alessia Iovane, RN
• Islandia Medical PLLC

• Mental Health Counselor in Islandia, NY
• Providers in Islandia, 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 Feb 5, 2025; 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.