Elizabeth Derouin, PHD - Psychologist in Charlotte, NC

Elizabeth Derouin, PHD is a Psychologist based in Charlotte, North Carolina. Elizabeth Derouin is licensed to practice in North Carolina (license number 5417) and her current practice location is 10926 David Taylor Dr, Suite 120 Pmb1390, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 494-6000.

NPI number for Elizabeth Derouin is 1275004111 and her current mailing address is 10926 David Taylor Drive, Suite 120 Pmb1390, Newton, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275004111.

Contact Information

Elizabeth Derouin, PHD
10926 David Taylor Dr, Suite 120 Pmb1390,
Charlotte, NC 28262-0039
(910) 494-6000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElizabeth Derouin
GenderFemale
SpecialityPsychologist
Location10926 David Taylor Dr, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275004111
  • Provider Enumeration Date: 12/17/2018
  • Last Update Date: 12/05/2025

Medical Identifiers

Medical identifiers for Elizabeth Derouin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275004111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 5417 (North Carolina)Primary
103TC0700XPsychologist - Clinical 0810007114 (Virginia)Secondary
103T00000XPsychologist (* (Not Available))Secondary

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. Elizabeth Derouin 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
Elizabeth Derouin, PHD
10926 David Taylor Drive, Suite 120 Pmb1390,
Newton, NC 28658-3819

Ph: (910) 494-6000
Elizabeth Derouin, PHD
10926 David Taylor Dr, Suite 120 Pmb1390,
Charlotte, NC 28262-0039

Ph: (910) 494-6000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.