DR. TODD MICHAEL DERREBERRY M.D. NPI 1295962066

NPI Information

  • NPI: 1295962066
  • Provider Name: DR. TODD MICHAEL DERREBERRY, M.D.
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2554 LEWISVILLE CLEMMONS RD STE 207
    CLEMMONS, NC
    ZIP 27012
  • Phone: (336) 223-8220

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NPI Details

DR. Todd Michael Derreberry, M.D. is a psychiatry psychiatry neurology in Clemmons, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Todd Michael Derreberry, M.D. NPI is 1295962066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2554 LEWISVILLE CLEMMONS RD STE 207
CLEMMONS, NC
ZIP 27012-752
Phone: (336) 223-8220
Fax: (339) 207-0143

The NPI 1295962066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0805XPsychiatry & NeurologyGeriatric Psychiatry25736WEST VIRGINIANo
22084P0800XPsychiatry & NeurologyPsychiatry2015-00894NORTH CAROLINAYes
32084P0800XPsychiatry & NeurologyPsychiatry25736WEST VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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