Derek Bacchus, PH.D.
NPI 1811130107 · Clinical Psychologist · Salem, VA
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Bacchus, PH.D. is a Clinical Psychologist provider in Salem, VA (NPI 1811130107).
Provider details
- NPI number
- 1811130107
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0810004356 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-16
- Last updated
- 2014-01-02
Frequently asked questions
- What is Derek Bacchus's NPI number?
- Derek Bacchus's National Provider Identifier (NPI) is 1811130107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Bacchus's specialty?
- Derek Bacchus is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Derek Bacchus located?
- Derek Bacchus's practice location on file with NPPES is 1970 Roanoke Blvd, Salem, VA 24153-6404.
- What is Derek Bacchus's phone number?
- The practice phone number listed in the NPPES registry for Derek Bacchus is (540) 982-2463.
- Does Derek Bacchus accept Medicare?
- Derek Bacchus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Bacchus's NPI active?
- Yes — Derek Bacchus's NPI (1811130107) is active in the NPPES registry as of the last update on 2014-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.