Amanda R Derby
Psychologist, Clinical Child & Adolescent in Brighton, Massachusetts
1912402157- Practice location
- 30 Warren St, Brighton, MA 02135-3602
- Phone
- 617-254-3800
- Fax
- —
- Last updated
- July 28, 2022
Amanda Ruth Derby is a Psychologist, Clinical Child & Adolescent based in Brighton, MA. Amanda Ruth Derby practices in Brighton, MA. The NPI Number for Amanda Ruth Derby is 1912402157. The current practice location address for Amanda Ruth Derby is 30 Warren St, Brighton, MA 02135-3602 and can be reached out via phone at 617-254-3800.
Provider Profile Details
- NPI Number
- 1912402157
- Provider Name
- Amanda Ruth Derby
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Warren St, Brighton, MA 02135-3602
- Phone Number
- 617-254-3800
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 29, 2018
- Last Update Date
- July 28, 2022
- Certification Date
- July 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Warren St
Brighton, MA 02135-3602 - City
- Brighton
- State
- Massachusetts
- Zip
- 02135-3602
- Phone Number
- 617-254-3800
Provider Business Mailing Address Details
- Address
- 30 Warren St
Brighton, MA 02135-3602 - City
- Brighton
- State
- MA
- Zip
- 02135-3602
- Phone Number
- 617-254-3800
License Information
- Taxonomy (1)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
- Taxonomy (2)
- Behavior Analyst · 103K00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Amanda R Derby?
The NPI number of Amanda R Derby is 1912402157. It was assigned on March 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Amanda R Derby?
Amanda R Derby is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X).
Where does Amanda R Derby practice?
The practice location is 30 Warren St, Brighton, MA 02135-3602. The office can be reached at 617-254-3800 (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 1912402157 directly on the NPPES registry website.