Active NPIIndividual provider

Dr. Derick E Vergne, MD

Psychiatry & Neurology, Psychiatry in Acton, Massachusetts

NPI Number1013066083
Practice location
179 Great RD Ste 201, Acton, MA 01720-5774
Fax
617-544-0937
Last updated
September 25, 2023

Derick E Vergne is a Psychiatry & Neurology, Psychiatry based in Acton, MA. Derick E Vergne practices in Acton, MA and has the professional credentials of MD. The NPI Number for Derick E Vergne is 1013066083 and holds a License No. 249376 (MA). The current practice location address for Derick E Vergne is 179 Great RD Ste 201, Acton, MA 01720-5774 and can be reached out via phone at 857-239-1911 and via fax at 617-544-0937.

Provider Profile Details

NPI Number
1013066083
Provider Name
Derick E Vergne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
179 Great RD Ste 201, Acton, MA 01720-5774
Phone Number
857-239-1911
Fax Number
617-544-0937
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
January 9, 2007
Last Update Date
September 25, 2023
Certification Date
September 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Great RD Ste 201
Acton, MA 01720-5774
City
Acton
Zip
01720-5774
Phone Number
857-239-1911
Fax Number
617-544-0937
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
179 Great RD
Ste 201
Acton, MA 01720-5774
City
Acton
State
MA
Zip
01720-5774
Phone Number
857-239-1911

License Information

License Number
249376
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Derick E Vergne, MD?

The NPI number of Dr. Derick E Vergne, MD is 1013066083. It was assigned on January 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Derick E Vergne, MD?

Dr. Derick E Vergne, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 249376.

Where does Dr. Derick E Vergne, MD practice?

The practice location is 179 Great RD Ste 201, Acton, MA 01720-5774. The office can be reached at 857-239-1911 (phone) or 617-544-0937 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013066083 directly on the NPPES registry website.

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