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Deactivated NPI 1902813017 Deactivated / Inactive NPI Female Practitioner

Dr. Andrea Deratany , PsyD

Psychologist • Indialantic, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrea Deratany has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2006
NPI Deactivation Date November 13, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Deratany, PsyD was a registered Psychologist practicing in Indialantic, FL. Throughout an active medical career spanning 11 years, Dr. Deratany provided care at the practice location at 105 SOUTH RIVERSIDE DRIVE until profile deactivation on 2017-11-13.

Practice Location & Contact Primary Location

Practice Address

105 South Riverside Drive
Suite 130

Indialantic, FL 329034321

Telephone 3217279031
Fax 3217248011
Associated Practice Facility / Clinic
🏢 Andrea Deratany, Psy.d., P.a. Facility NPI 1548555048

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Indialantic, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Indialantic, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY4374

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2010

Registered at 105 SOUTH RIVERSIDE DRIVE, SUITE 130, INDIALANTIC, FL 329034321 (Tel: 3217279031)

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Updated Business Mailing Address August 24, 2010

Registered at 105 SOUTH RIVERSIDE DRIVE, SUITE 130, INDIALANTIC, FL 329034321 (Tel: 3217279031)

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Provider Name / Credentials Updated August 24, 2010

Recorded as ANDREA DERATANY, PSYD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Psychologist (License #PY4374 in FL)

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Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902813017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: August 24, 2010
Deactivation Date: November 13, 2017

Mailing Address

105 South Riverside Drive, Suite 130

Indialantic, FL 329034321

Phone: 3217279031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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