Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Martin Kenneth Derusha, MA

Individual provider Mental Health Counselor · NPI 1285969626

Martin Kenneth Derusha, MA is a Mental Health Counselor in Quincy, Massachusetts. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

460 Quincy Ave
Quincy, MA 02169-8130
Phone: (617) 847-1980
Fax: (617) 774-1490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1285969626
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 2, 2009
Last updated in NPPESOctober 2, 2009

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