DAVID R DERUS (NPI# 1295169381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295169381 |
| Entity Type | Individual |
| Full Name | DAVID R DERUS |
| Credential | PSYD, LPC-IT |
| Practice Address |
3398 E Maria Dr Stevens Point WI 54481-1362 |
| Practice Telephone | 7153417441 |
| Mailing Telephone | 7153417441 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
1857 | WI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 3817 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Lake View Dr, Wausau, WI 54403 | 7158484600 | 7158455398 |
| Street Address |
3398 E MARIA DR |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-1362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811929268 | Audrey C Kast | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2006-07-07 |
| 1073886743 | Jeffrey Willems | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2012-02-10 |
| 1255621710 | Bababo O Opaneye | Psychiatry & Neurology | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2011-04-18 |
| 1336453570 | Julie M Schneider | Counselor | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2010-07-29 |
| 1215060215 | Pamela J Beyer | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2007-03-13 |
| 1053448712 | William J Sullivan | Psychiatry & Neurology | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2007-02-28 |
| 1306996533 | Jacqueline A Bienek | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2007-01-11 |
| 1861595316 | Meg Knowles | Psychiatry & Neurology | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003273889 | Anchor Point Therapy and Evaluation Services | Psychologist | 23 Park Ridge Dr, Stevens Point, WI 54481-4432 | 2016-01-25 |
| 1962552380 | Jay C Cleve | Psychologist | 3398 East Maria Drive, Stevens Point, WI 54481 | 2007-01-10 |
| 1700972825 | Ronald Lewis Matthew | Psychologist | 209 Prentice St. North, Stevens Point, WI 54481 | 2006-10-05 |
| 1811929268 | Audrey C Kast | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2006-07-07 |
| 1366781627 | Dennis E. Elsenrath | Psychologist | 1052 Main St, Ste 202, Stevens Point, WI 54481-2848 | 2013-02-06 |
| 1073886743 | Jeffrey Willems | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2012-02-10 |
| 1003046210 | Jeana L. Magyar-moe | Psychologist | 1547 Strongs Ave, Ste D, Stevens Point, WI 54481-3566 | 2009-07-22 |
| 1215060215 | Pamela J Beyer | Psychologist | 3398 E Maria Dr, Stevens Point, WI 54481-1362 | 2007-03-13 |
| 1518092469 | Lisa L Huber | Psychologist | 3398 East Maria Drive, Stevens Point, WI 54481 | 2007-02-22 |
| 1972648251 | Terry R Kaddatz | Psychologist | 3398 East Maria Drive, Stevens Point, WI 54481 | 2007-02-21 |
| Find all providers in STEVENS POINT | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.