Active NPIIndividual provider

Dr. Derron K Ambrose, PHD

Psychologist in St. Thomas, U.S. Virgin Islands

NPI Number1164861233
Practice location
9048 Alton Adams Sr Dr, St. Thomas, VI 00802
Fax
—
Last updated
March 26, 2026

Derron K.g. Ambrose is a Psychologist based in St. Thomas, VI. Derron K.g. Ambrose practices in St. Thomas, VI and has the professional credentials of PHD. The NPI Number for Derron K.g. Ambrose is 1164861233 and holds a License No. PY60949800 (WA). The current practice location address for Derron K.g. Ambrose is 9048 Alton Adams Sr Dr, St. Thomas, VI 00802 and can be reached out via phone at 340-776-8311.

Provider Profile Details

NPI Number
1164861233
Provider Name
Derron K.g. Ambrose
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
9048 Alton Adams Sr Dr, St. Thomas, VI 00802
Phone Number
340-776-8311
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2013
Last Update Date
March 26, 2026
Certification Date
March 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
9048 Alton Adams Sr Dr
St. Thomas, VI 00802
Zip
00802
Phone Number
340-776-8311
St. Thomas, VI 00802Get directions →

Provider Business Mailing Address Details

Address
Po Box 600205
St Thomas, VI 00801-6205
City
St Thomas
State
VI
Zip
00801-6205
Phone Number
340-776-8311

License Information

License Number (1)
PY60949800
License State (1)
WA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
PY60949800
License State (2)
WA
Taxonomy (2)
Psychologist · 103T00000X · Primary
License Number (3)
22-047-Psy
License State (3)
VI
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

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. Derron K Ambrose, PHD?

The NPI number of Dr. Derron K Ambrose, PHD is 1164861233. It was assigned on June 21, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Derron K Ambrose, PHD?

Dr. Derron K Ambrose, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in WA under license number PY60949800.

Where does Dr. Derron K Ambrose, PHD practice?

The practice location is 9048 Alton Adams Sr Dr, St. Thomas, VI 00802. The office can be reached at 340-776-8311 (phone).

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 1164861233 directly on the NPPES registry website.

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