DR. JACK DARBYSHIRE (ED.D.) – Counseling Psychologist, NPI 1295736288

DR. JACK DARBYSHIRE (ED.D.) is a healthcare provider. based in Brewster, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D.. They hold a License No. 4808 (MA). The NPI Number for DR. JACK DARBYSHIRE (ED.D.) is 1295736288

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK DARBYSHIRE (ED.D.)
NPI
1295736288
Phone
(508) 240-7964
Address
164 CRANVIEW RD
Enumeration Date
2 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087788580213
Graduation Year
1988 (38 years ago)
PAC ID
2668598046
Professional Enrollment ID
I20100922000893
Address ID
MA026733444WE30XXXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. JACK DARBYSHIRE (ED.D.)

  • 164, Cranview Road, Brewster, Barnstable County, Massachusetts, 02631, United States

    BREWSTER, MA 026312256

    Phone: (508) 240-7964

    Type: Mailing

  • 23-25 BAYSTATE COURT

    BREWSTER, MA 026312556

    Phone: (508) 240-7964

    Fax: (508) 240-5448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100922000893IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes21518$0
90837Psychotherapy, 1 hour8415$0
View full utilization report →

Insurance plans in this area (ZIP 02631)

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Frequently asked questions

What is DR. JACK DARBYSHIRE (ED.D.)'s NPI number?
DR. JACK DARBYSHIRE (ED.D.)'s NPI is 1295736288 — the number used across U.S. healthcare to identify this provider.
Would DR. JACK DARBYSHIRE (ED.D.) appear as active to a payer?
You can treat DR. JACK DARBYSHIRE (ED.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. JACK DARBYSHIRE (ED.D.)?
At a glance, DR. JACK DARBYSHIRE (ED.D.) is tied to Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JACK DARBYSHIRE (ED.D.)?
Directory geography for DR. JACK DARBYSHIRE (ED.D.) centers on Brewster, Massachusetts.
When was this NPI issued?
Enumeration for DR. JACK DARBYSHIRE (ED.D.) is noted as August 2, 2005 where the registry provides it.

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