DR. MARTHA DEDRICKS (PSYD) – Clinical Psychologist, NPI 1144453036
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181219000899 | I | Clinical Psychologist | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 404 | 222 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 385 | 384 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 19 | 19 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 15 | 15 | $0 |
Insurance plans in this area (ZIP 90035)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Geriatric Psychiatry | FL | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | TX | |
| Clinical Psychologist | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Clinical Psychologist | FL | |
| Clinical Social Worker | FL |
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