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Organization
DERIVIERE MENTAL HEALTH PROFESSIONALS
Active
Organization
DERIVIERE MENTAL HEALTH PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WICHNITE DERIVIERE PMHNP (PRESIDENT)
(617) 223-7463
Entity
Organization
Contact information
Practice address
100 MERRIMACK ST STE 306, LOWELL, MA 01852-1706
(617) 223-7463
(800) 725-4450
Mailing address
100 MERRIMACK ST STE 306, LOWELL, MA 01852-1706
(617) 223-7463
(800) 725-4450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
NULL
101YS0200X
School Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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