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ANNIE DERTHICK PHD
NPI 1689039422
Psychologist - Family in Lewiston, ME

Active since December 21, 2015PECOS Enrolled
83.95/100
CMS Quality Rating
76 HIGH ST, LEWISTON, ME 04240(207) 795-2800 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2018, Feb 25, 2016, Dec 21, 2015 (3 updates tracked since 2015).

About Annie Derthick Phd NPPES

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

ANNIE DERTHICK PHD (NPI 1689039422) is an individual family provider in Lewiston, Maine, licensed in Maine (PS1563) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1689039422
Entity TypeIndividualFemale
Primary Taxonomy103TF0000X
Provider Legal NameANNIE DERTHICKCredential: PHD
Location Address76 HIGH STLewiston, ME 04240
Mailing Address76 High StLewiston, ME 04240-7649 · (207) 795-2800
Phone(207) 795-2800
Sole ProprietorNo
Enumeration DateDecember 21, 2015
Last NPPES UpdateSeptember 13, 20183 updates tracked since enumeration
✔ NPI 1689039422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers
Taxonomy Code103TF0000X
License✔ Licensed in ME · PS1563
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Also ListedPsychologistTaxonomy 103T00000X · License 107779 (AK)
76 HIGH ST, Lewiston, ME 04240
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 E 36th AveAnchorage, AK 99508-4372 · Phone (907) 562-9229 · Fax (907) 561-4806

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annie Derthick Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

Other Providers at the Same Location NPPES 20

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

BROCK TOSTENSON MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
LEO PARASKEVOPOULOS MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
ELIZA FOSTER DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
LARRY SPENCER FITCH DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
BRONTE ROBERTS LCPCC, LADC
Counselor (Professional)
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
PATRICIA COLLINS DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
RYAN JOHNSON DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
AL-ELAD PRIVOROZKY MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800

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 Annie Derthick's NPI number?

The NPI number for Annie Derthick is 1689039422. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Annie Derthick located?

Annie Derthick practices at 76 High St, Lewiston, ME 04240. The listed phone number is (207) 795-2800.

What is Annie Derthick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Is Annie Derthick enrolled in Medicare?

Yes. Annie Derthick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annie Derthick was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.