Dr Courtney Derico, PSYD is a
Psychologist - Clinical based in Westchester, California. Dr Courtney Derico is licensed to practice in California (license number 35601) and her current practice location is
8704 S Sepulveda Blvd # 1076, Westchester, California. She can be reached at her office (for appointments etc.) via phone at
(334) 220-0200.
NPI number for Dr Courtney Derico is 1518331305 and her current mailing address is 8704 S Sepulveda Blvd # 1076, Westchester, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518331305.
Healthcare Provider's Profile
| Full Name | Dr Courtney Derico |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 8704 S Sepulveda Blvd # 1076, Westchester, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518331305
- Provider Enumeration Date: 11/17/2015
- Last Update Date: 01/24/2025
Medical Identifiers
Medical identifiers for Dr Courtney Derico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518331305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 174400000X | Specialist | 35601 (California) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35601 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Courtney Derico is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Courtney Derico, PSYD
8704 S Sepulveda Blvd # 1076,
Westchester, CA 90045-4004
Ph: (334) 220-0200 | Dr Courtney Derico, PSYD
8704 S Sepulveda Blvd # 1076,
Westchester, CA 90045-4004
Ph: (334) 220-0200 |
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