Healthcare Provider Details

I. General information

NPI: 1538200399
Provider Name (Legal Business Name): JOYCE FIVEHOUSE DERBY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 OLNEY SANDY SPRING RD STE B
OLNEY MD
20832-3502
US

IV. Provider business mailing address

4900 CONTINENTAL DR
OLNEY MD
20832-2972
US

V. Phone/Fax

Practice location:
  • Phone: 301-570-7500
  • Fax:
Mailing address:
  • Phone: 301-570-1513
  • Fax: 310-260-8218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number03079
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number03079
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number03079
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: