MEDICARE: CHRISTOPHER DERIX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1710810858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER DERIX

Provider Business Mailing Address
First Line	:	3408 WOODLAND AVE STE 102
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	553 HIGHFIELD DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63304-7143
Country	:	US
Telephone Number	:	515-207-5226
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	CHRISTOPHER DERIX
Credential	:	PSYD
Telephone Number	:	515-207-5226

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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