DERRIS ROSS
NPI 1003586934
Clinic/Center - Mental Health (Including Community Mental Health Center) in Indianapolis, IN

Q: What is Derris Ross's NPI number?

The NPI number for Derris Ross is 1003586934. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Derris Ross's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Derris Ross was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2021

3939 N ARLINGTON AVE, INDIANAPOLIS, IN 46226(463) 222-7550 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derris Ross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRIS ROSS (NPI 1003586934) is an individual mental health (including community mental health center) provider in Indianapolis, Indiana and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1003586934

Entity TypeIndividualMale

Primary Taxonomy261QM0801X

Provider Legal NameDERRIS ROSS

Location Address3939 N ARLINGTON AVEIndianapolis, IN 46226-4816

Mailing Address8901 E 42nd StIndianapolis, IN 46226-5515 · (463) 222-7550

Phone(463) 222-7550

Sole ProprietorYes

Enumeration DateSeptember 13, 2021

NPPES CertifiedSeptember 13, 2021

✔ NPI 1003586934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

3939 N ARLINGTON AVE, Indianapolis, IN 46226

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derris Ross's NPI number?

The NPI number for Derris Ross is 1003586934. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Derris Ross located?

Derris Ross practices at 3939 N Arlington Ave, Indianapolis, IN 46226. The listed phone number is (463) 222-7550.

What is Derris Ross's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Derris Ross was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.