AMANDA RUTH DERBY
NPI 1912402157
Psychologist - Clinical Child & Adolescent in Brighton, MA

NPI Status: Active since March 29, 2018

Contact Information

30 WARREN ST
BRIGHTON, MA
ZIP 02135
Phone: (617) 254-3800

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  • Individual
  • Female
  • Years of Experience 1
  • Psychologist
  • Clinical Child & Adolescent
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About AMANDA DERBY

This page provides the complete NPI Profile along with additional information for Amanda Derby, a provider established in Brighton, Massachusetts with a medical specialization in Psychologist, focusing in clinical child & adolescent and more than one year of experience. The healthcare provider is registered in the NPI registry with number 1912402157 assigned on March 2018. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1912402157
Provider Name
AMANDA RUTH DERBY
Gender
Female
Entity Type
Individual
Location Address
30 WARREN ST BRIGHTON, MA 02135
Location Phone
(617) 254-3800
Mailing Address
30 WARREN ST BRIGHTON, MA 02135
Mailing Phone
(617) 254-3800
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
No
Enumeration Date
03-29-2018
Last Update Date
07-28-2022
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Location Map

Secondary Locations

  • 49 Eliot St
    Natick, MA 01760
    (508) 359-6582

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 

Medicare Participation & PECOS Enrollment Status

Amanda Derby is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Amanda Derby is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 345739561

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251029000209

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for AMANDA RUTH DERBY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912402157, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 8 + 0 + 4 + 1 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1912402157.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
30 WARREN ST
BRIGHTON, MA 02135
Psychologist (Clinical)
30 WARREN ST
BRIGHTON, MA 02135
Pediatrics (Pediatric Pulmonology)
30 WARREN ST
BRIGHTON, MA 02135
Pediatrics
30 WARREN ST
BOSTON, MA 02135
Pediatrics
30 WARREN ST
BRIGHTON, MA 02135
Pediatrics
30 WARREN ST
BRIGHTON, MA 02135
Anesthesiology
30 WARREN ST
BRIGHTON, MA 02135
Anesthesiology
30 WARREN ST
BRIGHTON, MA 02135
Psychiatry & Neurology (Child & Adolescent Psychiatry)
30 WARREN ST, FRANSCISCAN CHILDREN'S HOSP.
BRIGHTON, MA 02135
Social Worker (Clinical)
30 WARREN ST, FRANCISCAN HOSPITAL FOR CHILDREN
BOSTON, MA 02135
Occupational Therapist
30 WARREN ST
BRIGHTON, MA 02135
Dentist (Endodontics)
30 WARREN ST
BOSTON, MA 02135
Community/Behavioral Health
30 WARREN ST
BRIGHTON, MA 02135
Pediatrics
30 WARREN ST
BRIGHTON, MA 02135
Social Worker (Clinical)
30 WARREN ST
BRIGHTON, MA 02135
Speech-Language Pathologist
30 WARREN ST
BOSTON, MA 02135
Speech-Language Pathologist
30 WARREN ST
BRIGHTON, MA 02135
Nurse Practitioner
30 WARREN ST
BRIGHTON, MA 02135
Dentist (Pediatric Dentistry)
30 WARREN ST
BRIGHTON, MA 02135
Social Worker (Clinical)
30 WARREN ST
BOSTON, MA 02135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912402157, enumerated as an "individual" on March 29, 2018.

The provider is located at 30 WARREN ST BRIGHTON, MA 02135 and the phone number is (617) 254-3800.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.