DIANE DERUYTER


Address: 339 East Ave Ste 303, Rochester, NY 14604-2615
Phone: 5854342633

DIANE DERUYTER (NPI# 1215540703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215540703
Entity Type Individual
Full Name DIANE DERUYTER
Credential MHC LIMITED PERMIT
Practice Address 339 East Ave Ste 303
Rochester
NY 14604-2615
Practice Telephone 5854342633
Practice Fax Number 5854342635
Mailing Telephone 5854342633
Mailing Fax Number 5854342635
Enumeration Date 2020-08-25
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
106005-01 NY Behavioral Health & Social Service Providers

Office Location

Street Address 339 EAST AVE STE 303
City ROCHESTER
State NY
Zip Code 14604-2615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396166575 Randi Nicole Bisbano Registered Nurse 339 East Ave Ste 303, Rochester, NY 14604-2615 2013-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225562481 Katherine Nielsen-erskine Registered Nurse 1645 Saint Paul, Rochester, NY 14604 2017-04-14
1245787456 The Young Men's Christian Association of Greater Rochester Health Educator 444 E Main St, Rochester, NY 14604 2016-09-06
1093146565 Allyson Stoughton Case Manager/Care Coordinator 87 North Clinton Avenue, Rochester, NY 14604 2013-12-09
1003061839 Trudy Johnette Mack Licensed Practical Nurse 165 N. Water Street, Apt. 205, Rochester, NY 14604 2008-11-20
1730336124 Berkshire Farm Center &services for Youth Community/Behavioral Health 1059 Sibley Tower Bldg, Rochester, NY 14604 2008-08-27
1851430813 Berkshire Farm Center and Services for Youth Case Management 1059 Silbey Tower Building, Medicaid Service Coordination Program, Rochester, NY 14604 2007-02-06
1982779930 Jeremy Alan Leichtner Dentist 1158 Sibley Tower Bldg, Rochester, NY 14604 2006-11-22
1518589761 Dillon Jay Auvenshine Student in an Organized Health Care Education/Training Program 300 Crittenden Blvd, Rochester, NY 14604 2020-05-11
1235597394 Jessica Pruitt Counselor 87 N Clinton Ave, Rochester, NY 14604 2016-02-04
1033520440 Huther Doyle Memorial Institute Counselor 360 East Ave, Rochester, NY 14604 2014-05-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154928042 Marie Halpin Counselor 224 Alexander St Ste 100, Rochester, NY 14607-4000 2020-10-05
1033721329 Jessica Estey Counselor 405 Alexander St Apt 3, Rochester, NY 14607-1018 2020-08-19
1619593688 Alexandra Kerr Counselor 40 Rowley St Apt 10, Rochester, NY 14607-2642 2020-06-24
1013537505 Nicoletta Lattuca Counselor 87 Twin Oak Dr, Rochester, NY 14606-4413 2020-04-24
1306466586 R.k.k.s. Mental Health Counseling Pllc Counselor 189 N Water St Ste 700, Rochester, NY 14604-1163 2020-04-17
1538788856 Chastity Murray Counselor 364 Seneca Pkwy, Rochester, NY 14613-1417 2020-04-16
1023637048 Thea Schnase Counselor 13423 Littlerock Rd Sw, Rochester, WA 98579-9749 2020-04-09
1467085233 Briana Faringer Counselor 33 Cornell St Apt 2, Rochester, NY 14607-3133 2020-02-19
1831722321 Carriola Lee Chambers Counselor 500 Carter St, Rochester, NY 14621-3902 2020-02-13
1154969574 Heather Nicole Paessler-chesterton Counselor 132 Allens Creek Rd Ste 200, Rochester, NY 14618-3310 2019-12-16
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Competitor

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City ROCHESTER
Zip Code 14604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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