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

Dr. Derron K.g. Ambrose, PHD

Individual provider Clinical Psychologist · NPI 1164861233

Dr. Derron K.g. Ambrose, PHD is a Clinical Psychologist in St Thomas, U.S. Virgin Islands. Qualified in 2018, 8 years ago. Practices with Synergy Fitness and Wellness Center LLC, a 6-clinician group and works from 3 locations. Licensed in U.S. Virgin Islands and Washington.

Years since qualifying
8
Licensed in
VI, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

9048 Alton Adams Sr Dr
St Thomas, VI 00802
Phone: (340) 776-8311

Additional practice locations (2)

  • 9003 Havensight Mall, St. Thomas, VI 00802 — (340) 777-7735
  • 5316 Yacht Haven Grande, St. Thomas, VI 00802 — (340) 715-6463

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY60949800 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY60949800 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 22-047-PSY (VI)

Record details

NPI number1164861233
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Synergy Fitness And Wellness Center Llc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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