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David R. Derus, PSYD, LPC-IT

NPI 1295169381ActiveIndividual· Psychologist· Stevens Point, WI

Psychologist (PSYD, LPC-IT) with Elmergreen Associates, LLC, practicing in Stevens Point, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist.

Overview

NPI1295169381
StatusActive
Entity typeIndividual
CredentialPSYD, LPC-IT
Sole proprietorNo
NPI issuedAug 26, 2013
Last updated in NPPESDec 11, 2020
Certified by providerDec 11, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X3817WI
Counselor, Professional101YP2500X1857WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (WI)

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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