PAMELA DERITIS LMFT151030
NPI 1841966322
Marriage & Family Therapist in Fountain Valley, CA

Active since August 17, 2021PECOS Enrolled
16405 ROSEWOOD ST, FOUNTAIN VALLEY, CA 92708(323) 380-8857 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Aug 21, 2021 (2 updates tracked since 2021).

About Pamela Deritis Lmft151030 NPPES

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

PAMELA DERITIS LMFT151030 (NPI 1841966322) is an individual marriage & family therapist in Fountain Valley, California, licensed in California (116077) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841966322
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePAMELA DERITISCredential: LMFT151030
Location Address16405 ROSEWOOD STFountain Valley, CA 92708-1938
Mailing Address16405 Rosewood StFountain Valley, CA 92708-1938 · (714) 717-1490
Sole ProprietorYes
Enumeration DateAugust 17, 2021
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1841966322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 116077
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
16405 ROSEWOOD ST, Fountain Valley, CA 92708

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pamela Deritis Lmft151030 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.

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 Pamela Deritis's NPI number?

The NPI number for Pamela Deritis is 1841966322. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Pamela Deritis located?

Pamela Deritis practices at 16405 Rosewood St, Fountain Valley, CA 92708. The listed phone number is (323) 380-8857.

What is Pamela Deritis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Pamela Deritis enrolled in Medicare?

Yes. Pamela Deritis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pamela Deritis was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.