Derrick S. Hines M.D. P.C.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

31380 Issued in AZ

Legal business name

DERRICK S. HINES M.D. P.C.

Practice address

8208 S 18TH PL
Phoenix, AZ 85042-6837

Phone

(602) 275-1348

NPI assigned

Sep 15, 2006

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derrick Shayne Hines, M.D.

Title

President

Phone

(602) 275-1348

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1003912692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 S 18TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426837",
            "telephone_number": "602-275-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 S 18TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426837",
            "telephone_number": "602-275-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK S. HINES M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-275-1348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "31380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell James Dern, M.S., CCC-SLP
• Brad Deroma
• Parker Constantine Deroo
• Gael Derouin, DO
• Pamela Louise Derouin, MD
• Derrick Umphlett MD PC
• Brenda Joyce Derrick, LPN
• Cheri Diane Dersam, M.D.
• Michael D Dersam, MD
• Anne Merrylees Dersch, MD

• Child & Adolescent Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.