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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194268458

Dr. Derek William Matthies is a Clinical Psychologist in APO, Armed Forces Pacific. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2016
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

2200 Bergquist Dr Ste 1 Attn: Credentials (sghc) Jbsa-Lackland
APO, AP 78236-9908
Phone: (714) 904-4463
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194268458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address11622 Hunter Ivy, San Antonio, TX 78253-5866

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)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in APO