MICHELLE DERKSON CERTIFICATE NPI 1669200333

NPI Information

  • NPI: 1669200333
  • Provider Name: MICHELLE DERKSON, CERTIFICATE
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Individual
  • Address: 817 MATTHEWS DR
    CINCINNATI, OH
    ZIP 45215
  • Phone: (859) 802-1069

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NPI Details

Michelle Derkson, CERTIFICATE is a developmental disabilities clinic center in Cincinnati, OH. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Michelle Derkson, CERTIFICATE NPI is 1669200333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

817 MATTHEWS DR
CINCINNATI, OH
ZIP 45215-836
Phone: (859) 802-1069

The enumeration date for this NPI number is 7/24/2024 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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