Derek William Matthies
NPI 1194268458ActiveIndividual· Student in an Organized Health Care Education/Training Program· Apo, AP
Student in an Organized Health Care Education/Training Program with Permanente Medical Group Inc, practicing in Apo, Armed Forces Pacific. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1194268458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 18, 2016 |
| Last updated in NPPES | Jan 26, 2022 |
| Certified by provider | Jan 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Other Student in an Organized Health Care Education/Training Program providers in Apo
- 1528296191
- 1811770662
- 1548797368