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DR. ALBERT T. DERIVAN M.D.
NPI 1235135294
Psychiatry & Neurology - Child & Adolescent Psychiatry in Audubon, PA

Active since June 23, 2005PECOS Enrolled
23438 SHANNONDELL DR, AUDUBON, PA 19403(215) 260-1721(610) 382-6813 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Albert T. Derivan M.d. NPPES

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

DR. ALBERT T. DERIVAN M.D. (NPI 1235135294) is an individual child & adolescent psychiatry provider in Audubon, Pennsylvania, licensed in Pennsylvania (MD034282E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235135294
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. ALBERT T. DERIVANCredential: M.D.
Location Address23438 SHANNONDELL DRAudubon, PA 19403-5675
Mailing Address23438 Shannondell DrAudubon, PA 19403-5675 · (215) 260-1721 · Fax (610) 382-6813
Phone(215) 260-1721
Fax(610) 382-6813
Sole ProprietorYes
Enumeration DateJune 23, 2005
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1235135294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD034282E
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
23438 SHANNONDELL DR, Audubon, PA 19403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Albert T. Derivan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Albert Derivan's NPI number?

The NPI number for Albert Derivan is 1235135294. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Albert Derivan located?

Albert Derivan practices at 23438 Shannondell Dr, Audubon, PA 19403. The listed phone number is (215) 260-1721.

What is Albert Derivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Albert Derivan enrolled in Medicare?

Yes. Albert Derivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Albert Derivan was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.