Active NPI
Jack Darbyshire, ED.D.
- Counseling Psychologist
- Brewster, MA
National Provider Identifier
1295736288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4808
- Practice address
- 23-25 Baystate Court
Brewster, MA 02631-2556 - Phone
- (508) 240-7964
- Fax
- (508) 240-5448
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4808 | MA | Primary |
Addresses
Primary practice location
23-25 Baystate Court
Brewster, MA 02631-2556
Mailing address
164 Cranview Rd
Brewster, MA 02631-2256
Phone (508) 240-7964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000893 | MA | Practitioner - Clinical Psychologist | 2668598046 | Practice locations: West Yarmouth, MA; Brewster, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
164 Cranview Rd
Brewster, MA 02631-2256
23 -25 Baystate Court
Brewster, MA 02631-2256
Phone 5082407964213
30 Higgins Crowell Rd
West Yarmouth, MA 02673-3444
Phone 5087788580213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4808 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295736288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 CRANVIEW RD",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312256",
"telephone_number": "508-240-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-25 BAYSTATE COURT",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312556",
"telephone_number": "508-240-7964",
"fax_number": "508-240-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBYSHIRE",
"first_name": "JACK",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "4808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.