COURTNEY DERUS
NPI 1255765335
Psychologist in Wausau, WI

Active since August 26, 2013PECOS Enrolled
114 GRAND AVE, WAUSAU, WI 54403(715) 845-7175(715) 845-7142 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Courtney Derus NPPES

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

COURTNEY DERUS (NPI 1255765335) is an individual psychologist in Wausau, Wisconsin, licensed in Wisconsin (3605-57) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255765335
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCOURTNEY DERUS
Location Address114 GRAND AVEWausau, WI 54403-6214
Mailing Address114 Grand AveWausau, WI 54403-6214 · (715) 845-7175 · Fax (715) 845-7142
Fax(715) 845-7142
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 26, 2013
Last NPPES UpdateOctober 2, 2018
NPI 1255765335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 3605-57
Definition

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.

114 GRAND AVE, Wausau, WI 54403

Other Names 1

Former Name (1)Courtney Elmergreen

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Courtney Derus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284978347
PECOS Enrollment IDI20181130002166
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

Psychologist (Clinical)
114 GRAND AVE
WAUSAU, WI 54403
Social Worker (Clinical)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Professional)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Mental Health)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Professional)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Professional)
114 GRAND AVE
WAUSAU, WI 54403
Social Worker (Clinical)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Professional)
114 GRAND AVE
WAUSAU, WI 54403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255765335, enumerated as an "individual" on August 26, 2013.

The provider is located at 114 GRAND AVE WAUSAU, WI 54403 and the phone number is (715) 845-7175.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.