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MISS DINA DERILAS MS
NPI 1487214680
Counselor - Mental Health in Glendale, NY

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
6729 MYRTLE AVE, GLENDALE, NY 11385(718) 456-7001(718) 456-9470 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Dina Derilas Ms NPPES

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

MISS DINA DERILAS MS (NPI 1487214680) is an individual mental health provider in Glendale, New York, licensed in New York (014166) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487214680
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS DINA DERILASCredential: MS
Location Address6729 MYRTLE AVEGlendale, NY 11385-7063
Mailing Address6729 Myrtle AveGlendale, NY 11385-7063 · (718) 456-7001 · Fax (718) 456-9470
Phone(718) 456-7001
Fax(718) 456-9470
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2019
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1487214680 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 NY · 014166
6729 MYRTLE AVE, Glendale, NY 11385
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Dina Derilas Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587007331
PECOS Enrollment IDI20240208001390
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Dina Derilas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interborough Developmental And Consultation Center, Inc.
7.4 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200
Ilm Medical Care PLLC
7.4 mi
Specialist
2241 OCEAN AVE
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1023442035 (000) 000-0000
Park Avenue Pediatrics, P.C.
33 mi
Pediatrics
12 DEERWOOD RD
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Park Avenue Pediatrics PC
  • 87 clinicians in this Medicare group
NPI 1699969543 (845) 671-4000
Grow Healthcare Group PA
1,091 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA MICHELLE CLARKE
Social Worker (Clinical)
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
MRS. AMY MARIE CALLAHAN LCSW
Social Worker (Clinical)
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
MS. KRISTINA LOHRE LCSW
Social Worker (Clinical)
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
MARIA TERESA TAVERAS LMSW
Social Worker
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
LIANA FERRANTE LCSW
Social Worker (Clinical)
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
FAITH EILEEN CARBONARO MHC
Social Worker
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
ELISA MALAKE HASROUNI
Social Worker (Clinical)
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001
SAMANTHA FRANCES AVERSANO
Social Worker
6729 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 456-7001

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 Dina Derilas's NPI number?

The NPI number for Dina Derilas is 1487214680. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Dina Derilas located?

Dina Derilas practices at 6729 Myrtle Ave, Glendale, NY 11385. The listed phone number is (718) 456-7001.

What is Dina Derilas's specialty?

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

Is Dina Derilas enrolled in Medicare?

Yes. Dina Derilas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dina Derilas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dina Derilas reassigns Medicare benefits to 4 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY), Ilm Medical Care PLLC (Brooklyn, NY), Park Avenue Pediatrics, P.C. (Spring Valley, NY) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dina Derilas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dina Derilas was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.