Active NPI
Deborah Alice Snyderman, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1073515649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD 039738 E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD 039738 E | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a. Snyderman, M.D., LLC | Current | 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.
-
- Psychosomatic Medicine Physician
- Philadelphia, PA
- NPI 1326288549
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.