MR. DAVID JAMES DERITA PHD
NPI 1124253547
Psychologist - Clinical in Tower Lakes, IL

Q: What is David Derita's NPI number?

The NPI number for David Derita is 1124253547. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Q: What is David Derita's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for David Derita was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2009

215 W LAKE SHORE DR, TOWER LAKES, IL 60010(847) 526-6557 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. David James Derita Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID JAMES DERITA PHD (NPI 1124253547) is an individual clinical provider in Tower Lakes, Illinois, licensed in Illinois (071-002434) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1124253547

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. DAVID JAMES DERITACredential: PHD

Location Address215 W LAKE SHORE DRTower Lakes, IL 60010-1130

Mailing Address215 W Lake Shore DrTower Lakes, IL 60010-1130 · (847) 526-6557

Phone(847) 526-6557

Sole ProprietorYes

Enumeration DateMay 29, 2009

✔ NPI 1124253547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-002434

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

215 W LAKE SHORE DR, Tower Lakes, IL 60010

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Derita's NPI number?

The NPI number for David Derita is 1124253547. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is David Derita located?

David Derita practices at 215 W Lake Shore Dr, Tower Lakes, IL 60010. The listed phone number is (847) 526-6557.

What is David Derita's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for David Derita was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.