Active NPIIndividual providerSole proprietor

Dr. John J Derbort, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1194745216
Practice location
45 Newbury St, Suite 333, Boston, MA 02116-3133
Fax
—
Last updated
July 8, 2007

John Joseph Derbort is a Psychologist, Clinical based in Boston, MA. John Joseph Derbort practices in Boston, MA and has the professional credentials of PHD. The NPI Number for John Joseph Derbort is 1194745216 and holds a License No. 4700 (MA). The current practice location address for John Joseph Derbort is 45 Newbury St, Suite 333, Boston, MA 02116-3133 and can be reached out via phone at 617-943-5572.

Provider Profile Details

NPI Number
1194745216
Provider Name
John Joseph Derbort
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
45 Newbury St, Suite 333, Boston, MA 02116-3133
Phone Number
617-943-5572
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Newbury St
Suite 333
Boston, MA 02116-3133
City
Boston
Zip
02116-3133
Phone Number
617-943-5572
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
57 Mount Vernon St
West Roxbury, MA 02132-2824
City
West Roxbury
State
MA
Zip
02132-2824
Phone Number
617-943-5572

License Information

License Number
4700
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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. John J Derbort, PHD?

The NPI number of Dr. John J Derbort, PHD is 1194745216. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John J Derbort, PHD?

Dr. John J Derbort, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4700.

Where does Dr. John J Derbort, PHD practice?

The practice location is 45 Newbury St, Suite 333, Boston, MA 02116-3133. The office can be reached at 617-943-5572 (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 1194745216 directly on the NPPES registry website.

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