Active NPI
Veronica Mary Gail Derickson
- School Psychologist
- Virginia Beach, VA
National Provider Identifier
1336048750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PPS-0609799
- Practice address
- 641 Carriage Hill Rd
Virginia Beach, VA 23452-6518 - Phone
- (757) 263-6986
- NPI assigned
- Nov 3, 2026
- Last updated
- Nov 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PPS-0609799 | VA | Primary |
Addresses
Primary practice location
641 Carriage Hill Rd
Virginia Beach, VA 23452-6518
Mailing address
641 Carriage Hill Rd
Virginia Beach, VA 23452-6546
Phone (757) 263-6986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793664000000",
"number": "1336048750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 CARRIAGE HILL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526546",
"telephone_number": "757-263-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 CARRIAGE HILL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526518",
"telephone_number": "757-263-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERICKSON",
"first_name": "VERONICA",
"middle_name": "MARY GAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-11-03",
"last_updated": "2026-11-03",
"certification_date": "2026-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "PPS-0609799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Dermatology Inc. of Virginia Beach
- Derrick M. Broadaway, D.D.S., PC
- Michele Valenti Derwent
- Gautam D Desai, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.