ANDREA G DERTANY PSYD
NPI 1104238294
Psychologist in Indialantic, FL

Active since May 23, 2014
105 S RIVERSIDE DR STE 130, INDIALANTIC, FL 32903(321) 727-9031(321) 724-8011 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea G Dertany Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA G DERTANY PSYD (NPI 1104238294) is a healthcare organization registered as a psychologist in Indialantic, Florida and active in the NPI registry since May 2014. The organization lists Beckie Reel, Admin Assistant, as its authorized official.

NPPES Registry Identity

NPI1104238294
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameANDREA G DERTANY PSYD
Location Address105 S RIVERSIDE DR STE 130Indialantic, FL 32903-4321
Mailing Address105 S Riverside Dr Ste 130Indialantic, FL 32903-4321 · (321) 727-9031 · Fax (321) 724-8011
Fax(321) 724-8011
Organization SubpartNo
Authorized OfficialBeckie ReelAdmin Assistant · (321) 727-9031
Enumeration DateMay 23, 2014
NPI 1104238294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY4374
Definition
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.
105 S RIVERSIDE DR STE 130, Indialantic, FL 32903

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea G Dertany Psyd's NPI number?

The NPI number for Andrea G Dertany Psyd is 1104238294. It was assigned to this organization in the NPPES registry on May 23, 2014.

Where is Andrea G Dertany Psyd located?

Andrea G Dertany Psyd is located at 105 S Riverside Dr Ste 130, Indialantic, FL 32903. The listed phone number is (321) 727-9031.

What is Andrea G Dertany Psyd's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Andrea G Dertany Psyd was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.