Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christina Elyse Derenge, PSYD

Individual provider Psychologist · NPI 1275002644

Christina Elyse Derenge, PSYD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2018
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4417 N 6th St
Philadelphia, PA 19140-2319
Phone: (215) 302-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS018521 (PA)

Record details

NPI number1275002644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 15, 2018
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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