Individual provider Active NPI

Deborah Alice Snyderman, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1073515649
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 039738 E Issued in PA
Practice address
255 South 17TH Street
Suite 1801
Philadelphia, PA 19103-6218
Phone
(215) 985-4820
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD 039738 E PA Primary

Addresses

Primary practice location

255 South 17TH Street
Suite 1801
Philadelphia, PA 19103-6218

Mailing address

255 S 17TH St
Suite 1801
Philadelphia, PA 19103-6231
Phone (215) 985-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000663 PA Practitioner - Psychiatry 1759304181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

255 S 17TH St
Suite 1801
Philadelphia, PA 19103-6218
Phone (215) 985-4820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 039738 EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a. Snyderman, M.D., LLC CurrentSince Dec 1, 2008 Accepting new patients

Locations

255 S 17th St
Ste 1801
Philadelphia, PA 19103
Phone (215) 735-1116

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1073515649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST",
            "address_2": "SUITE 1801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036231",
            "telephone_number": "215-985-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SOUTH 17TH STREET",
            "address_2": "SUITE 1801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036218",
            "telephone_number": "215-985-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDERMAN",
        "first_name": "DEBORAH",
        "middle_name": "ALICE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 039738 E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.