IndividualActive
Kenneth Deherrera, PH.D.
NPI 1255386769 · Psychologist · Wateretown, NY
Kenneth Deherrera, PH.D. is a Psychologist provider in Wateretown, NY (NPI 1255386769).
Provider details
- NPI number
- 1255386769
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- License
- 263423-2501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Department of the Army, U.S. Army Medical Department
Activity, Fort Drum, New York
Wateretown, NY 13602-5004
Phone: (315) 772-3314
Approximate (ZIP-level) locationGet directions
Mailing address
410 Holcomb St
Watertown, NY 13601-3907
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Deherrera's NPI number?
- Kenneth Deherrera's National Provider Identifier (NPI) is 1255386769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Deherrera's specialty?
- Kenneth Deherrera is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Deherrera located?
- Kenneth Deherrera's practice location on file with NPPES is Department of the Army, U.S. Army Medical Department, Wateretown, NY 13602-5004.
- What is Kenneth Deherrera's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Deherrera is (315) 772-3314.
- Is Kenneth Deherrera's NPI active?
- Yes — Kenneth Deherrera's NPI (1255386769) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.