John Deruyter, PSY D - Psychologist in Fairbanks, AK

John Deruyter, PSY D is a Psychologist - Family based in Fairbanks, Alaska. John Deruyter is licensed to practice in Alaska (license number 547) and his current practice location is 530 7th Ave, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 451-8208.

NPI number for John Deruyter is 1396828125 and his current mailing address is Po Box 73511, Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396828125.

Contact Information

John Deruyter, PSY D
530 7th Ave,
Fairbanks, AK 99701-4971
(907) 451-8208
Not Available



Healthcare Provider's Profile

Full NameJohn Deruyter
GenderMale
SpecialityPsychologist - Family
Location530 7th Ave, Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396828125
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 07/19/2019

Medical Identifiers

Medical identifiers for John Deruyter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396828125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0000XPsychologist - Family 547 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Deruyter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Deruyter, PSY D
Po Box 73511,
Fairbanks, AK 99707-3511

Ph: (907) 451-8208
John Deruyter, PSY D
530 7th Ave,
Fairbanks, AK 99701-4971

Ph: (907) 451-8208

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