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DR. DEREK ORLANDO BACCHUS PH.D.
NPI 1811130107
Psychologist - Clinical in Salem, VA

Active since April 16, 2009PECOS Enrolled
1970 ROANOKE BLVD, PSYCHOLOGY (116B1), SALEM, VA 24153(540) 982-2463(540) 224-1976 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek Orlando Bacchus Ph.d. NPPES

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

DR. DEREK ORLANDO BACCHUS PH.D. (NPI 1811130107) is an individual clinical provider in Salem, Virginia, licensed in Virginia (0810004356) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811130107
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEREK ORLANDO BACCHUSCredential: PH.D.
Location Address1970 ROANOKE BLVD, PSYCHOLOGY (116B1)Salem, VA 24153-6404
Mailing Address1970 Roanoke Blvd, Psychology (116b1)Salem, VA 24153-6404 · (540) 982-2463 · Fax (540) 224-1976
Phone(540) 982-2463
Fax(540) 224-1976
Sole ProprietorNo
Enumeration DateApril 16, 2009
Last NPPES UpdateJanuary 2, 2014
✔ NPI 1811130107 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 VA · 0810004356
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.
1970 ROANOKE BLVD, Salem, VA 24153
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Dr. Derek Orlando Bacchus Ph.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW
Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Salem City (540) 982-2463
DR. PETER LEWIS WILLS PHARM.D.
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Salem City (540) 982-2463
DR. JAMES PAARLBERG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JENNA ST PIERRE PHARMD
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
LAUREN HAGEMANN PH.D
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
TANYA WILLARD NURSE PRACTITIONER
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JOSETTE ANTOINE LPN
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
DR. JASBIR MAVI M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153
Salem City (540) 982-2463

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 Derek Bacchus's NPI number?

The NPI number for Derek Bacchus is 1811130107. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Derek Bacchus located?

Derek Bacchus practices at 1970 Roanoke Blvd Psychology (116b1), Salem, VA 24153. The listed phone number is (540) 982-2463.

What is Derek Bacchus's specialty?

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

Is Derek Bacchus enrolled in Medicare?

Yes. Derek Bacchus is registered in the Medicare PECOS enrollment system.

What insurance does Derek Bacchus accept?

Health plans from Blue Cross and Blue Shield of Texas list Derek Bacchus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Bacchus was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.