Derron K.G. Ambrose, PH.D.
NPI 1164861233ActiveIndividual· Psychologist· St. Thomas, VI
Psychologist (PH.D.) with Vi Government Hospital and Health Facilities Corp and 1 other group, practicing in St. Thomas, U.S. Virgin Islands. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1164861233 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 21, 2013 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY60949800 | WA |
| Psychologist, Clinical | 103TC0700X | PY60949800 | WA |
| Psychologist, Clinical | 103TC0700X | 22-047-PSY | VI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (VI) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical groups
- Vi Government Hospital and Health Facilities CorpSt Thomas, VI · 38 clinicians
- Synergy Fitness and Wellness Center LLCSt Thomas, VI · 6 clinicians
Other Psychologist providers in St. Thomas
- 1114084233
- 1952783680