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DR. DEREK JEREMY JOHN PHD
NPI 1912926601
Psychologist - Clinical in Wausau, WI

Active since July 19, 2006
631 FOREST ST, WAUSAU, WI 54403(715) 842-0944(715) 845-6477 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek Jeremy John Phd NPPES

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

DR. DEREK JEREMY JOHN PHD (NPI 1912926601) is an individual clinical provider in Wausau, Wisconsin, licensed in Wisconsin (2306-057) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912926601
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEREK JEREMY JOHNCredential: PHD
Location Address631 FOREST STWausau, WI 54403-5524
Mailing Address631 Forest StWausau, WI 54403-5524 · (715) 842-0944 · Fax (715) 845-6477
Phone(715) 842-0944
Fax(715) 845-6477
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912926601 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 WI · 2306-057
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.
631 FOREST ST, Wausau, WI 54403
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Other Identifiers 3

Other332603Managed Health Network
Other87249WI · Security Health Insurance
Other2187795Cigna Behavioral Health

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.

MICHELLE R WEGNER PC
Counselor (Professional)
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
JAMIE DIESTELHORST
Counselor (Professional)
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
KEELA COPPERSMITH LPC-IT
Counselor (Professional)
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
MR. GREG JOEL TURINETTI MS, LMFT
Marriage & Family Therapist
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
MR. EDMUND LEE WEBSTER MSW, LCSW
Social Worker (Clinical)
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
SAMUEL JOSEPH COTTER APSW
Social Worker
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
DANIEL KITZHABER
Counselor (Professional)
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944
MIRANDA J REITER
Counselor
631 FOREST ST
WAUSAU, WI 54403
Marathon County (715) 842-0944

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 John's NPI number?

The NPI number for Derek John is 1912926601. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Derek John located?

Derek John practices at 631 Forest St, Wausau, WI 54403. The listed phone number is (715) 842-0944.

What is Derek John's specialty?

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

When was this NPI record last updated?

The NPPES record for Derek John was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.