Ms. Susan M Derivas is a Meridian, Idaho based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ms. Susan M Derivas is 64266 for Psych/Mental Health in Idaho. Her current practice location is 4055 E Blueberry St, Meridian. Patients can reach her at 208-775-7418 or can fax her at 208-647-5008. Ms. Susan M Derivas is CNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1851493829. Ms. Susan M Derivas provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ms. Susan M Derivas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1851493829
NPI Enumeration Date:
01 Sep, 2006
NPI Last Update On:
07 Feb, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Susan M Derivas are as mentioned below.
License Number
Specialization
State
Status
64266
Psych/Mental Health
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Susan M Derivas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
208-775-7418
Other
SPRUCE HEALTH
1032026
Medicaid
Idaho
5708247
Other
Idaho
EVERNORTH
932434
Other
AVAILITY ID
0062-0104069
Other
UNITED HEALTHCARE SERVICES, PROVIDER NO.
13961493
Other
CAQH PROVIDER ID
909072
Other
CHANGE HEALTHCARE SUBMITTER ID
1851493829
Other
CLOZAPINE REMS CERTIFIED
396453
Other
MASTER BILLING ID (OSMIND)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Susan M Derivas 4055 E Blueberry St, Meridian, Idaho
Zip:
83642-8261
Phone Number:
208-775-7418
Fax Number:
208-674-5008
Patients can reach Ms. Susan M Derivas at 4055 E Blueberry St, Meridian, Idaho or can call to book an appointment on 208-775-7418.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.