Jamie C. Derrick, PH.D.
NPI 1871792697ActiveIndividual· Psychologist· Moscow, ID
Opted out of Medicare from June 2019 to June 2027. Psychologist (PH.D.) in Moscow, Idaho, licensed in ID and CA, with an NPI issued in July 2007.
Overview
| NPI | 1871792697 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2007 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY325 | ID |
| Psychologist | 103T00000X | PSY14487 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 1, 2019 – Jun 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other Psychologist providers in Moscow
- 1992885735
- 1902730757
- 1255423745
- 1710176292
- 1225155575
- 1902932262
- 1336249952
- 1881699536