Active NPI
Deborah Luz Co, M.D.
- Psychiatry Physician
- Bala Cynwyd, PA
National Provider Identifier
1245440635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD069504L
- Practice address
- 191 Presidential Blvd
Suite 111B
Bala Cynwyd, PA 19004-1207 - Phone
- (215) 620-2741
- NPI assigned
- May 23, 2007
- Last updated
- Sep 14, 2009
- 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 | MD069504L | PA | Primary |
Addresses
Primary practice location
191 Presidential Blvd
Suite 111B
Bala Cynwyd, PA 19004-1207
Mailing address
134 Carson St.
Philadelphia, PA 19127-1303
Phone (215) 620-2741
Other names 1
- Dr. Deborah Doyle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 5, 2020 through Mar 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD069504L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1245440635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 CARSON ST.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191271303",
"telephone_number": "215-620-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 PRESIDENTIAL BLVD",
"address_2": "SUITE 111B",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041207",
"telephone_number": "215-620-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CO",
"first_name": "DEBORAH",
"middle_name": "LUZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD069504L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "DOYLE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bala Cynwyd, PA
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- Daniel Robert Cohn, PSY.D., M.S., M.A.
- Tisa Coleman, B.S., MHS, LBSC
- College Cardiology Associates, LTD
- Victoria Colona, LPC, NCC, CAADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.