MATTHYS ALEJANDRO MORENO-DERKS
NPI 1790085363
Psychologist in San Jacinto, CA

Active since October 28, 2010PECOS Enrolled
1695 S SAN JACINTO AVE STE A-D&F, SAN JACINTO, CA 92583(951) 330-3100(951) 350-1050 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Dec 10, 2020 (2 updates tracked since 2020).

About Matthys Alejandro Moreno-derks NPPES

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

MATTHYS ALEJANDRO MORENO-DERKS (NPI 1790085363) is an individual psychologist in San Jacinto, California and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790085363
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHYS ALEJANDRO MORENO-DERKS
Location Address1695 S SAN JACINTO AVE STE A-D&FSan Jacinto, CA 92583-5103
Mailing Address1695 S San Jacinto Ave Ste A-d&fSan Jacinto, CA 92583-5103 · (951) 330-3100 · Fax (951) 350-1050
Fax(951) 350-1050
Sole ProprietorYes
Enumeration DateOctober 28, 2010
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1790085363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
1695 S SAN JACINTO AVE STE A-D&F, San Jacinto, CA 92583

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthys Alejandro Moreno-derks 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.

Other Providers at the Same Location NPPES 12

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

Chiropractor
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Nurse Practitioner
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Physician Assistant (Medical)
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Physician Assistant
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Social Worker (Clinical)
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Dietitian, Registered
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Acupuncturist
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Nurse Practitioner (Family)
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583

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 Matthys Moreno-derks's NPI number?

The NPI number for Matthys Moreno-derks is 1790085363. It was assigned to this individual provider in the NPPES registry on October 28, 2010.

Where is Matthys Moreno-derks located?

Matthys Moreno-derks practices at 1695 S San Jacinto Ave Ste A-D&f, San Jacinto, CA 92583. The listed phone number is (951) 330-3100.

What is Matthys Moreno-derks's specialty?

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

Is Matthys Moreno-derks enrolled in Medicare?

Yes. Matthys Moreno-derks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthys Moreno-derks was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.