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JOSE DERNIER JR.
NPI 1174992903
Counselor - Mental Health in Philadelphia, PA

Active since September 22, 2015
2831 W QUEEN LN APT A, PHILADELPHIA, PA 19129(267) 234-3700 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose Dernier Jr. NPPES

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

JOSE DERNIER JR. (NPI 1174992903) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (BH002135) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1174992903
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSE DERNIER JR.
Location Address2831 W QUEEN LN APT APhiladelphia, PA 19129-1031
Mailing Address2831 W Queen Ln Apt APhiladelphia, PA 19129-1031
Phone(267) 234-3700
Sole ProprietorYes
Enumeration DateSeptember 22, 2015
✔ NPI 1174992903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · BH002135
2831 W QUEEN LN APT A, Philadelphia, PA 19129
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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 Jose Dernier Jr.'s NPI number?

The NPI number for Jose Dernier Jr. is 1174992903. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Jose Dernier Jr. located?

Jose Dernier Jr. practices at 2831 W Queen Ln Apt A, Philadelphia, PA 19129. The listed phone number is (267) 234-3700.

What is Jose Dernier Jr.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jose Dernier Jr. was last updated on September 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.