DR. DERRON K.G. AMBROSE PH.D.
NPI 1164861233
Psychologist in St. Thomas, VI
About Dr. Derron K.g. Ambrose Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DERRON K.G. AMBROSE PH.D. (NPI 1164861233) is an individual psychologist in St. Thomas, Virgin Islands, licensed in Washington (PY60949800) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Derron K.g. Ambrose Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Derron Ambrose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Thomas, VI 00802
- Reassigned Medicare billing, U.S. Virgin Islands enrollment
- 9 clinicians in this Medicare group
St Thomas, VI 00802
- Reassigned Medicare billing, U.S. Virgin Islands enrollment
- 114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Derron Ambrose's NPI number?
The NPI number for Derron Ambrose is 1164861233. It was assigned to this individual provider in the NPPES registry on June 21, 2013.
Where is Derron Ambrose located?
Derron Ambrose practices at 9048 Alton Adams Sr Dr, St. Thomas, VI 00802. The listed phone number is (340) 776-8311.
What is Derron Ambrose's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Derron Ambrose enrolled in Medicare?
Yes. Derron Ambrose is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Derron Ambrose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derron Ambrose reassigns Medicare benefits to 2 organizations: Synergy Fitness And Wellness Center LLC (St Thomas, VI) and Vi Government Hospital And Health Facilities Corp (St Thomas, VI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derron Ambrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Derron Ambrose was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.