DR. MARTHA DEDRICKS (PSYD) – Clinical Psychologist, NPI 1144453036

DR. MARTHA DEDRICKS (PSYD) is a healthcare provider. based in Los angeles, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PSY18213 (CA). The NPI Number for DR. MARTHA DEDRICKS (PSYD) is 1144453036

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTHA DEDRICKS (PSYD)
NPI
1144453036
Phone
(321) 494-1110
Address
1125 South Beverly Drive
Enumeration Date
26 August 2009
Last Update Date
15 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885153834
Graduation Year
2000 (26 years ago)
PAC ID
7315282373
Group Practice PAC ID
5698185775
Professional Enrollment ID
I20181219000899
Address ID
FL333092180FT6750XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for DR. MARTHA DEDRICKS (PSYD)

  • 1125 South Beverly Drive

    #401

    Los Angeles, CA 90035

    Phone: (321) 494-1110

    Type: Location

  • PO BOX 562744

    ROCKLEDGE, FL 329562744

    Phone: (310) 936-6253

    Type: Mailing

  • 1201, Hays Street, Tallahassee, Leon County, Florida, 32301, United States

    TALLAHASSEE, FL 323012699

    Phone: (800) 370-3651

    Fax: (877) 515-7147

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181219000899IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes404222$0
90791Psychiatric diagnostic evaluation385384$0
96116Exam of neurobehavioral status, first hour1919$0
96121Exam of neurobehavioral status, each additional hour1515$0
View full utilization report →

Insurance plans in this area (ZIP 90035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698185775View full group profile
NameSpecialtyState
Psychiatry, Geriatric PsychiatryFL
Clinical Social WorkerNY
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerTX
Clinical PsychologistFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical PsychologistFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What number should I use to identify DR. MARTHA DEDRICKS (PSYD) for billing?
Administrative and clinical systems typically use NPI 1144453036 for DR. MARTHA DEDRICKS (PSYD).
Does the public listing show DR. MARTHA DEDRICKS (PSYD) as active?
DR. MARTHA DEDRICKS (PSYD)'s NPI record reflects an active status in NPPES.
What type of care does DR. MARTHA DEDRICKS (PSYD) provide?
DR. MARTHA DEDRICKS (PSYD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARTHA DEDRICKS (PSYD)?
The directory associates DR. MARTHA DEDRICKS (PSYD) with Los Angeles, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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