Active NPI
Derek Thomas Hess, J.D., PH.D.
- Psychologist
- Des Moines, IA
National Provider Identifier
1871783548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 094288
- Practice address
- 321 E 12TH St
Des Moines, IA 50319-1002 - Phone
- (518) 929-2883
- NPI assigned
- Jul 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 094288 | IA | Primary |
Addresses
Primary practice location
321 E 12TH St
Des Moines, IA 50319-1002
Mailing address
1436 41St PL
Des Moines, IA 50311-2524
Phone (518) 929-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094288 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1871783548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 41ST PL",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503112524",
"telephone_number": "518-929-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E 12TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503191002",
"telephone_number": "518-929-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "DEREK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "J.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "094288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.