DR. DEREK R LIBBY DO NPI 1184815730

NPI Information

  • NPI: 1184815730
  • Provider Name: DR. DEREK R LIBBY, DO
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 97A EXCHANGE ST
    SUITE 201
    PORTLAND, ME
    ZIP 04101
  • Phone: (207) 773-3335

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NPI Details

DR. Derek R Libby, DO is an addiction medicine preventive medicine in Portland, ME with 22 years of experience. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Derek R Libby, DO NPI is 1184815730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:2003

The provider's business location address is:

97A EXCHANGE ST
SUITE 201
PORTLAND, ME
ZIP 04101-016
Phone: (207) 773-3335
Fax: (207) 774-4788

The NPI 1184815730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 9/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204D00000XNeuromusculoskeletal Medicine & OMM1967MAINENo
22083A0300XPreventive MedicineAddiction MedicineDO1967MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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