Derick E. Vergne MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DERICK E. VERGNE MD, PLLC

Practice address

179 Great Rd Ste 201
Acton, MA 01720-5774

Phone

(857) 239-1911

Fax

(617) 544-0937

NPI assigned

Aug 12, 2022

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derick Vergne, MDNPI 1013066083

Title

Provider/Owner

Phone

(857) 239-1911

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derick E Vergne, MD

  • Psychiatry Physician
  • Acton, MA
  • NPI 1013066083
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1033847595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SMART RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202030",
            "telephone_number": "857-239-1911",
            "fax_number": "617-544-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 201",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205774",
            "telephone_number": "857-239-1911",
            "fax_number": "617-544-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERICK E. VERGNE MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "VERGNE",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "857-239-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Richard De Vita, D.C.
• Josette Deceus
• Lea S Decoteau, MSPT
• Jill Marie Defoe, LICSW
• Peter James Demartino, M.D.
• Derick E. Vergne, MD PLLC
• Raj Devarajan, MD
• Devita Chiropractic LLC
• Renee E Deyoe, MSW LICSW
• Barry Diamond, D.C.

• Psychiatry Physician in Acton, MA
• Providers in Acton, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.