Active NPIIndividual provider

Nathanael Derose

Counselor, Mental Health in Newport, Rhode Island

NPI Number1700795234
Practice location
513 Broadway, Newport, RI 02840-1471
Fax
—
Last updated
September 2, 2026

Nathanael Derose is a Counselor, Mental Health based in Newport, RI. Nathanael Derose practices in Newport, RI. The NPI Number for Nathanael Derose is 1700795234. The current practice location address for Nathanael Derose is 513 Broadway, Newport, RI 02840-1471 and can be reached out via phone at 401-324-9100.

Provider Profile Details

NPI Number
1700795234
Provider Name
Nathanael Derose
Provider Entity Type
Individual
Gender
Male
Address
513 Broadway, Newport, RI 02840-1471
Phone Number
401-324-9100
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2026
Last Update Date
September 2, 2026
Certification Date
September 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
513 Broadway
Newport, RI 02840-1471
Zip
02840-1471
Phone Number
401-324-9100
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
6 Laflamme Ave
Woonsocket, RI 02895-6510
City
Woonsocket
State
RI
Zip
02895-6510

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Nathanael Derose?

The NPI number of Nathanael Derose is 1700795234. It was assigned on September 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Nathanael Derose?

Nathanael Derose is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Nathanael Derose practice?

The practice location is 513 Broadway, Newport, RI 02840-1471. The office can be reached at 401-324-9100 (phone).

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 1700795234 directly on the NPPES registry website.

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