Amanda Ruth Derby, - Medicare Psychologist in Brighton, MA

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Amanda Ruth Derby, is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Brighton, Massachusetts. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 30 Warren St, Brighton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 254-3800.

Amanda Ruth Derby is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912402157.

Contact Information

Amanda Ruth Derby,
30 Warren St,
Brighton, MA 02135-3602
(617) 254-3800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Ruth Derby
GenderFemale
SpecialityClinical Psychologist
Experience1 Years
Location30 Warren St, Brighton, Massachusetts
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Ruth Derby graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1912402157
  • Provider Enumeration Date: 03/29/2018
  • Last Update Date: 07/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345739561
  • Enrollment ID: I20251029000209

Medical Identifiers

Medical identifiers for Amanda Ruth Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912402157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Primary
103K00000XBehavior Analyst (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Ruth Derby allows following entities to bill medicare on her behalf.
Entity NameNorth Shore Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730121633
PECOS PAC ID: 3274427570
Enrollment ID: O20040405001019

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Ruth Derby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Ruth Derby,
30 Warren St,
Brighton, MA 02135-3602

Ph: (617) 254-3800		Amanda Ruth Derby,
30 Warren St,
Brighton, MA 02135-3602

Ph: (617) 254-3800

Reviews and Comments


Psychologist in Brighton, MA

Dr. Sheryl Thau Bardin, PSY.D.
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Nicole Nadwodny, MA
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Dr. Line Hviid, PSYD
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Dr. Maddie Barron, PSY.D.
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Phone: 617-362-6450    
Beverly Corbett, ED.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 77b Warren St., Brighton, MA 02135
Phone: 617-787-1901    Fax: 617-254-3461
Prof. Maureen Kenny, PHD
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Practice Location: 36 Cummings Rd Apt 3, Brighton, MA 02135
Phone: 617-552-4030    
Rachel Gaia Venezia,
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Practice Location: 30 Warren St, Brighton, MA 02135
Phone: 617-254-3800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.