David R Derus, PSYD, LPC-IT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3817 Issued in WI

Practice address

3398 E Maria Dr
Stevens Point, WI 54481-1362

Phone

(715) 341-7441

NPI assigned

Aug 26, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Elmergreen Associates, LLCGroup PAC ID 1355880329, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: david.derus.1@10114.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elmergreen Associates,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1922173418
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1295169381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 E MARIA DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811362",
            "telephone_number": "715-341-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 E MARIA DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811362",
            "telephone_number": "715-341-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake View Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "54403",
            "country_code": "US",
            "telephone_number": "715-848-4600",
            "fax_number": "715-845-5398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERUS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "PSYD, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1857",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.derus.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3398 E Maria Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544811362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle De la Cruz
• Ava Raine Degroot, APSW
• Delta Dental of Wisconsin Foundation Inc
• Dental Health Center, S.C.
• Lynne M Derezinski, APNP
• Jamie Destache
• James H Deweerd Jr., MD
• Brenda Kaye Diamond, RDH
• Diane Y Dickinson, MA, LPC, LCSW
• Corey Carlyle Dike, DDS

• Psychologist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.