David M. Dermott, PSY.D., LPA, LPC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2015 Issued in NC

Practice address

102 Tilghman Dr
Dunn, NC 28334-5533

Phone

(910) 892-5839

Fax

(910) 892-5839

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dunn Psychological Associates, PA

  • Clinical Psychologist
  • Dunn, NC
  • NPI 1174712798

  Professional

  NPD (past) Authorized official
• Peoples Therapy Inc

  • Counselor
  • Dunn, NC
  • NPI 1770749921
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1295872729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUNN PSYCHOLOGICAL ASSOCIATES, PA",
            "address_2": "P.O. BOX 487",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283350487",
            "telephone_number": "910-892-5839",
            "fax_number": "910-892-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345533",
            "telephone_number": "910-892-5839",
            "fax_number": "910-892-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMOTT",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LPA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3185",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2015",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiernan Thomas Deangelis, M.D.
• Robert Earl Deckert, PAC
• Dedicated Health Systems
• Emily Dement, PA-C
• Allison Marguerite Deocampo
• Developmental Play Services, LLC
• Theresa Lynn Dias, COTAL
• Doctors Vision Center OD PA
• Susan Dorsey
• Joehannah Dorvilier-Augustin

• Psychologist in Dunn, NC
• Providers in Dunn, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.