npidexNPI registry + Medicare data

JAMIE DERRICK, PH.D.

Psychologist · MOSCOW, ID

Individual Active Opted out of Medicare NPI 1871792697

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Psychologist103T00000X✓PSY325ID
Psychologist103T00000XPSY14487CA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2019-06-01 through 2027-06-01.

Other Psychologist providers in Idaho

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.