Dr Courtney Derico, PSYD is a
Psychologist - Clinical based in Los Angeles, California. Dr Courtney Derico is licensed to practice in California (license number WAIVERED) and her current practice location is
2116 Arlington Ave Ste 100, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 334-9000.
NPI number for Dr Courtney Derico is 1518331305 and her current mailing address is 2116 Arlington Ave Ste 100, Los Angeles, 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 | 2116 Arlington Ave Ste 100, Los Angeles, 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: 04/30/2024
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 |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | WAIVERED (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
2116 Arlington Ave Ste 100,
Los Angeles, CA 90018-1353
Ph: (323) 334-9000 | Dr Courtney Derico, PSYD
2116 Arlington Ave Ste 100,
Los Angeles, CA 90018-1353
Ph: (323) 334-9000 |
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