Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Ruth Derby

Individual provider Clinical Child & Adolescent Psychologist · NPI 1912402157

Amanda Ruth Derby is a Clinical Psychologist in Brighton, Massachusetts. Qualified in 2025, 1 year ago. Works from 2 locations.

Years since qualifying
1
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 Warren St
Brighton, MA 02135-3602
Phone: (617) 254-3800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 49 Eliot St, Natick, MA 01760-5574 — (508) 359-6582

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1912402157
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address30 Warren St, Brighton, MA 02135-3602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Brighton