ELIZABETH DEROUIN PHD
NPI 1275004111
Psychologist in Charlotte, NC

Active since December 17, 2018
10926 DAVID TAYLOR DR, SUITE 120 PMB1390, CHARLOTTE, NC 28262(910) 494-6000 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2025, Dec 2, 2020, Dec 17, 2018 (3 updates tracked since 2018).

About Elizabeth Derouin Phd NPPES

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

ELIZABETH DEROUIN PHD (NPI 1275004111) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (5417) and active in the NPI registry since December 2018. She maintains a secondary practice location in Morganton.

NPPES Registry Identity

NPI1275004111
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIZABETH DEROUINCredential: PHD
Location Address10926 DAVID TAYLOR DR, SUITE 120 PMB1390Charlotte, NC 28262-0039
Mailing Address10926 David Taylor Drive, Suite 120 Pmb1390Newton, NC 28658-3819 · (910) 494-6000
Sole ProprietorYes
Enumeration DateDecember 17, 2018
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
NPI 1275004111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 5417
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810007114 (VA)
10926 DAVID TAYLOR DR, Charlotte, NC 28262

Secondary Practice Location 1

Location 11000 S Sterling StMorganton, NC 28655-3938 · Phone (828) 433-2111

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
10926 DAVID TAYLOR DR
CHARLOTTE, NC 28262
Behavior Analyst
10926 DAVID TAYLOR DR
CHARLOTTE, NC 28262
Behavior Analyst
10926 DAVID TAYLOR DR
CHARLOTTE, NC 28262
Community/Behavioral Health
10926 DAVID TAYLOR DR
CHARLOTTE, NC 28262

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 Elizabeth Derouin's NPI number?

The NPI number for Elizabeth Derouin is 1275004111. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Elizabeth Derouin located?

Elizabeth Derouin practices at 10926 David Taylor Dr Suite 120 Pmb1390, Charlotte, NC 28262. The listed phone number is (910) 494-6000.

What is Elizabeth Derouin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Derouin was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.