JENNIFER DEROLLER (NPI# 1265713119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265713119 |
| Entity Type | Individual |
| Full Name | JENNIFER DEROLLER |
| Credential | M.S., ATR-BC, LCAT |
| Practice Address |
175 Humboldt St Rochester NY 14610-1059 |
| Practice Telephone | 3152535383 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 001349 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
175 HUMBOLDT ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14610-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811009335 | Omnicare of New York, LLC | Pharmacy | 175 Humboldt St, Suite 225, Rochester, NY 14610-1060 | 2006-08-31 |
| 1013470616 | Meena Lall | Social Worker | 175 Humboldt St, Rochester, NY 14610-1059 | 2019-04-10 |
| 1497230239 | Whitney Marie Mejias | Social Worker | 175 Humboldt St, Rochester, NY 14610-1059 | 2018-09-27 |
| 1265981559 | Kathy Johnson | Registered Nurse | 175 Humboldt St, Rochester, NY 14610-1059 | 2016-09-27 |
| 1750749446 | Gretchen J Gorman | Social Worker | 175 Humboldt St, Rochester, NY 14610-1059 | 2016-02-09 |
| 1447618137 | Shana Ann Marie Baker | Rehabilitation Practitioner | 175 Humboldt St, Suite 100, Rochester, NY 14610-1059 | 2016-02-09 |
| 1639540537 | Kristy Bormann | Social Worker | 175 Humboldt St, Rochester, NY 14610-1059 | 2015-10-18 |
| 1164825055 | Audrey Amir | Social Worker | 175 Humboldt St, Rochester, NY 14610-1059 | 2014-10-06 |
| 1528471224 | Jessica Lynch | Pharmacist | 175 Humboldt St, Suite 225, Rochester, NY 14610-1059 | 2014-06-10 |
| 1922426279 | Alice Berry | Social Worker | 175 Humboldt St, Suite 100, Rochester, NY 14610-1059 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511122 | Marisa Volinsky | Social Worker | 2300 East Ave, Rochester, NY 14610 | 2019-04-28 |
| 1023396124 | Elissa Sara Strassman | Dietitian, Registered | 1441 East Avenue Suite 7d, Rochester, NY 14610 | 2011-07-25 |
| 1750695169 | Tracy Lee Pattison | Licensed Practical Nurse | 989 Blossom Road, Rochester, NY 14610 | 2010-07-28 |
| 1881926558 | Joshua Benjamin Rittenberg | Chiropractor | 1641 East Avenue, Rochester, NY 14610 | 2010-02-05 |
| 1922233584 | Patricia Renee Tolbert | Licensed Practical Nurse | 257 North Winton Road, Rochester, NY 14610 | 2009-05-26 |
| 1851556716 | Ann Marie Geyer | Registered Nurse | 62 Balsam Street, Rochester, NY 14610 | 2008-07-21 |
| 1871751289 | Ann Deborah Livingston-gagni | Licensed Practical Nurse | 158 Nunda Blvd, Rochester, NY 14610 | 2008-06-02 |
| 1659542652 | Charles F Coyle Jr Dpm | Podiatrist | 555 N Winton Rd, Rochester, NY 14610 | 2008-03-18 |
| 1588832638 | Paula Marie Moore | Registered Nurse | 381 Beresford Road, Rochester, NY 14610 | 2008-02-12 |
| 1902097314 | Rosamond Blakeslee | Registered Nurse | 107 San Gabriel Drive, Rochester, NY 14610 | 2007-08-09 |
| Find all providers in zip 14610 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505249 | Matthew Broad | Art Therapist | 1 Mustard St Ste 240250, Rochester, NY 14609-6980 | 2020-10-09 |
| 1487896502 | Shannon M Halligan | Art Therapist | 215 Alexander St, Suite 200, Rochester, NY 14607-4007 | 2009-04-03 |
| 1508320037 | Stephanie Biren | Art Therapist | 1320 University Ave, Rochester, NY 14607-1622 | 2019-01-29 |
| 1548761265 | Kayla M Jackson | Art Therapist | 46 Prince St, Rochester, NY 14607-1023 | 2018-02-27 |
| 1871000687 | Monica Anne Devine-haley | Art Therapist | 190 Reynolds St, Rochester, NY 14608-2540 | 2018-01-02 |
| 1508258443 | Spectrum Creative Arts LLC | Art Therapist | 3300 Monroe Ave, Rochester, NY 14618-4624 | 2015-03-02 |
| 1619397320 | Siera Weiss | Art Therapist | 45 Allens Creek Rd, Rochester, NY 14618-3227 | 2014-04-21 |
| 1639594518 | Lesley Randall | Art Therapist | 625 Panorama Trl, Building 1 Suite 230, Rochester, NY 14625-2404 | 2014-02-28 |
| 1356622468 | Emily R Krueger | Art Therapist | 175 Humboldt St, Rochester, NY 14610-1059 | 2011-09-01 |
| 1760585483 | Carrie Beth Webster | Art Therapist | 3399 Winton Rd S, Rochester, NY 14623-3057 | 2006-09-07 |
| Find all providers in ROCHESTER | ||||
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| 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.