Active NPIIndividual provider

Jessa Derania, DO

Psychiatry & Neurology, Psychiatry in Augusta, Maine

NPI Number1285083550
Practice location
35 Medical Center Pkwy, Augusta, ME 04330-8160
Fax
207-248-0094
Last updated
August 6, 2021

Jessa Derania is a Psychiatry & Neurology, Psychiatry based in Augusta, ME. Jessa Derania practices in Augusta, ME and has the professional credentials of DO. The NPI Number for Jessa Derania is 1285083550 and holds a License No. 313286 (LA). The current practice location address for Jessa Derania is 35 Medical Center Pkwy, Augusta, ME 04330-8160 and can be reached out via phone at 207-248-0097 and via fax at 207-248-0094.

Provider Profile Details

NPI Number
1285083550
Provider Name
Jessa Derania
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
35 Medical Center Pkwy, Augusta, ME 04330-8160
Phone Number
207-248-0097
Fax Number
207-248-0094
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2016
Last Update Date
August 6, 2021
Certification Date
August 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Medical Center Pkwy
Augusta, ME 04330-8160
State
Maine
Zip
04330-8160
Phone Number
207-248-0097
Fax Number
207-248-0094
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
35 Medical Center Pkwy
Augusta, ME 04330-8160
City
Augusta
State
ME
Zip
04330-8160
Phone Number
207-248-0097
Fax Number
207-248-0094

License Information

License Number (1)
313286
License State (1)
LA
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
DO3191
License State (2)
ME
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessa Derania, DO?

The NPI number of Jessa Derania, DO is 1285083550. It was assigned on June 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Jessa Derania, DO?

Jessa Derania, DO is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in LA under license number 313286.

Where does Jessa Derania, DO practice?

The practice location is 35 Medical Center Pkwy, Augusta, ME 04330-8160. The office can be reached at 207-248-0097 (phone) or 207-248-0094 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285083550 directly on the NPPES registry website.

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