DR. GEORGE WILLIAM MCDERMOTT (PH.D.) – Clinical Psychologist, NPI 1073531075

DR. GEORGE WILLIAM MCDERMOTT (PH.D.) is a healthcare provider. based in Brick, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. SI03665 (NJ). The NPI Number for DR. GEORGE WILLIAM MCDERMOTT (PH.D.) is 1073531075

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE WILLIAM MCDERMOTT (PH.D.)
NPI
1073531075
Phone
(732) 458-6748
Address
115 PRINCETON AVE
Enumeration Date
17 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2014885161
Graduation Year
1982 (44 years ago)
PAC ID
3274579172
Group Practice PAC ID
0648239988
Professional Enrollment ID
I20050630000661
Address ID
NJ076623019RO340XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

963 CLINICAL PSYCHOLOGIST in NJ

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Provider Addresses for DR. GEORGE WILLIAM MCDERMOTT (PH.D.)

  • 115, Princeton Avenue, Laurelton, Brick Township, Ocean County, New Jersey, 08724, United States

    BRICK, NJ 087244358

    Phone: (732) 458-6748

    Mailing address matches the actual address.

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: 2005-06-30

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
I20050630000661IClinical PsychologistNJTBD

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
90837Psychotherapy, 1 hour14714$0
90785Psychiatric services complicated by communication factor9712$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 08724)

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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: 0648239988View full group profile
NameSpecialtyState
P S Y C H I A T R YNJ
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL
Clinical Social WorkerNJ
-FL
Mental Health CounselorNJ
Mental Health CounselorFL

Reviews

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Frequently asked questions

Can I cross-check DR. GEORGE WILLIAM MCDERMOTT (PH.D.) using NPI 1073531075?
NPI 1073531075 belongs to DR. GEORGE WILLIAM MCDERMOTT (PH.D.); compare other details if you need extra assurance.
Is DR. GEORGE WILLIAM MCDERMOTT (PH.D.) shown as active in public data?
Registry records indicate DR. GEORGE WILLIAM MCDERMOTT (PH.D.) maintains an active NPI.
What clinical focus is listed for DR. GEORGE WILLIAM MCDERMOTT (PH.D.)?
At a glance, DR. GEORGE WILLIAM MCDERMOTT (PH.D.) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GEORGE WILLIAM MCDERMOTT (PH.D.)?
Directory geography for DR. GEORGE WILLIAM MCDERMOTT (PH.D.) centers on Brick, New Jersey.
Can I trust this NPI listing for DR. GEORGE WILLIAM MCDERMOTT (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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