MEDICARE: DR. DEREK VIGON PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	103T00000X	Psychologist	0810006039	VA

General Provider Information

NPI Number	:	1093140170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEREK VIGON PSY.D.

Provider Business Mailing Address
First Line	:	1750 ANDERSON RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-1142
Country	:	US
Telephone Number	:	310-467-5612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 ANDERSON RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-1142
Country	:	US
Telephone Number	:	310-467-5612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	11/17/2022

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1689916991 — GREAT FALLS MEDICAL CENTER, LLC
Practice Location Address:

1142 WALKER RD STE C
GREAT FALLS, VA
22066-1836

Practice Phone: 703-534-3331
Practice Fax: 703-534-0704

1497175459 — TRAILSIDE HEALTH LLC
Practice Location Address:

111 BRIDGE ST
SHELBURNE FALLS, MA
01370-1142

Practice Phone: 413-625-6240
Practice Fax: 413-625-6290

1912309550 — MRS. BARBARA A. CARRIG RN, MSN, APN, C
Practice Location Address:

70 DEWEY AVE
LITTLE FALLS, NJ
07424-1142

Practice Phone: 973-785-0434
Practice Fax:

1801596069 — TRIAD CENTER
Practice Location Address:

2358 HIGHPOINT RD
CUYAHOGA FALLS, OH
44223-1142

Practice Phone: 216-298-3663
Practice Fax:

1902631864 — AARON KEITH CHANDLER
Practice Location Address:

1142 HIGHLAND AVE
CUYAHOGA FALLS, OH
44221-4216

Practice Phone: 216-704-5564
Practice Fax:

Directions to “ DR. DEREK VIGON PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.