OrganizationActive
Andrea G Dertany Psyd
NPI 1104238294 · Psychologist · Indialantic, FL
Provider details
- NPI number
- 1104238294
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Beckie Reel, Admin Assistant(321) 727-9031
- License
- PY4374 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 S Riverside Dr Ste 130
Indialantic, FL 32903-4321
Phone: (321) 727-9031
Fax: (321) 724-8011
Street-level locationGet directions
Mailing address
105 S Riverside Dr Ste 130
Indialantic, FL 32903-4321
Registry dates
- Enumerated
- 2014-05-23
- Last updated
- 2014-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.