Individual provider Active NPI

Derrich B. Woehle, PHD

  • Clinical Psychologist
  • Plymouth, MI
National Provider Identifier
1922079136
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012337 Issued in MI
Practice address
199 N Main St
Suite #116
Plymouth, MI 48170-1272
Phone
(734) 658-0843
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012337 MI Primary

Addresses

Primary practice location

199 N Main St
Suite #116
Plymouth, MI 48170-1272

Mailing address

199 N Main St
Suite #116
Plymouth, MI 48170-1272
Phone (734) 658-0843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20060629000065 MI Practitioner - Clinical Psychologist 2668484007 Practice locations: Livonia, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17199 N Laurel Park Dr
Livonia, MI 48152-7904
Phone (734) 658-0843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bernadette S. Kovach PH.D. PLLC Clinical PastSince May 30, 2009 Accepting new patients
Katherine a Melchior PHD LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922079136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N MAIN ST",
            "address_2": "SUITE #116",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701272",
            "telephone_number": "734-658-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N MAIN ST",
            "address_2": "SUITE #116",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701272",
            "telephone_number": "734-658-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOEHLE",
        "first_name": "DERRICH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.