IndividualActive
John Deruyter, PSY. D
NPI 1396828125 · Family Psychologist · Fairbanks, AK
Provider details
- NPI number
- 1396828125
- Entity type
- Individual
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY. D
- Sex
- Male
- Sole proprietor
- No
- License
- 547 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
530 7th Ave
Fairbanks, AK 99701-4971
Phone: (907) 451-8208
Street-level locationGet directions
Mailing address
Po Box 73511
Fairbanks, AK 99707-3511
Additional practice locations (1)
- 926 Aspen StFairbanks, AK 99709-5501Phone: (907) 451-8208Fax: (907) 451-8207
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2019-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.