Derek Louis Paris, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

11307 Notestine Rd
Grabill, IN 46741-9735

Phone

(260) 627-0844

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Paris Psychological Services,PC

  • Clinical Psychologist
  • Grabill, IN
  • NPI 1548530215
  NPD Authorized official
• FWBH, LLC

  dba Maple Heights Behavioral Health

  • Psychiatric Hospital
  • Fort Wayne, IN
  • NPI 1932843117
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912939000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 NOTESTINE RD",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467419735",
            "telephone_number": "260-627-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 NOTESTINE RD",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467419735",
            "telephone_number": "260-627-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "DEREK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Allen County Fire & EMS, Inc.
• Northeast Allen County Fire and EMS Inc
• Northeast Allen Fire Protection District
• PA Labs Inc
• Paris Psychological Services,PC
• Nicholas Ramer
• Amy M Rowan
• Tanya Sue Schwartz, COTA
• Susan's Home Sweet Home, LLC
• Jacob Vanlue

• Clinical Psychologist in Grabill, IN
• Providers in Grabill, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.