Active NPI
Catherine Derenoncourt, LPN
- Psychiatric/Mental Health Nurse Practitioner
- Suffern, NY
National Provider Identifier
1619137486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2026021962
- Practice address
- 44 W Maple Ave Apt 1
Suffern, NY 10901-5813 - Phone
- (845) 200-0151
- NPI assigned
- Jun 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 231020 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2026021962 | AK | Primary |
| Registered Nurse | 163W00000X | 26NR17881800 | NJ | |
| Registered Nurse | 163W00000X | RN305475 | GA | |
| Registered Nurse | 163W00000X | 695000 | NY |
Addresses
Primary practice location
44 W Maple Ave Apt 1
Suffern, NY 10901-5813
Mailing address
44 W Maple Ave Apt 1
Suffern, NY 10901-5813
Phone (845) 200-0151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231020 | AK | MD | Registered Nurse |
| RN305475 | GA | MD | Registered Nurse |
| 26NR17881800 | NJ | MD | Registered Nurse |
| 695000 | NY | MD | Registered Nurse |
| 2026021962 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Home Care | Registered Nurse | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1619137486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 W MAPLE AVE APT 1",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015813",
"telephone_number": "845-200-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W MAPLE AVE APT 1",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015813",
"telephone_number": "845-200-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERENONCOURT",
"first_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-14",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "231020",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "2026021962",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR17881800",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN305475",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "695000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.