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DR. MEGAN DERISO PSYD
NPI 1174357743
Psychologist - Clinical in Princeton, NJ

Active since August 27, 2024Opted out of Medicare · through Jul 23, 2027
601 EWING ST., SUITE C-2, PRINCETON, NJ 08540(856) 220-9672 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Megan Deriso Psyd NPPES

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

DR. MEGAN DERISO PSYD (NPI 1174357743) is an individual clinical provider in Princeton, New Jersey, licensed in New Jersey (35SI00756400) and active in the NPI registry since August 2024. She has opted out of Medicare through July 23, 2027.

NPPES Registry Identity

NPI1174357743
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MEGAN DERISOCredential: PSYD
Location Address601 EWING ST., SUITE C-2Princeton, NJ 08540
Mailing Address601 Ewing St., Suite C-2Princeton, NJ 08540 · (856) 220-9672
Phone(856) 220-9672
Sole ProprietorYes
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1174357743 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 NJ · 35SI00756400
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.
601 EWING ST., Princeton, NJ 08540
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Megan Deriso Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2025 through July 23, 2027.

Opt-Out Effective DateJuly 23, 2025
Opt-Out In Effect ThroughJuly 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY HOFMAN MD
Obstetrics & Gynecology
601 EWING ST., SUITE C-13
PRINCETON, NJ 08540
Mercer County (609) 924-3023

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 Megan Deriso's NPI number?

The NPI number for Megan Deriso is 1174357743. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Megan Deriso located?

Megan Deriso practices at 601 Ewing St. Suite C-2, Princeton, NJ 08540. The listed phone number is (856) 220-9672.

What is Megan Deriso's specialty?

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

Is Megan Deriso enrolled in Medicare?

No. Megan Deriso has opted out of Medicare through July 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Megan Deriso was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.