Deborah a. Snyderman, M.D., LLC

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

MD039738E Issued in PA

Legal business name

DEBORAH A. SNYDERMAN, M.D., LLC

Practice address

255 S 17TH St
Suite 1801
Philadelphia, PA 19103-6231

Phone

(215) 985-4820

Fax

(206) 888-6574

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

Deborah Alice Snyderman, M.D.NPI 1073515649

Title

Owner

Phone

(215) 985-4820

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Alice Snyderman, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1073515649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235779200000",
    "number": "1326288549",
    "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",
            "fax_number": "206-888-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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",
            "fax_number": "206-888-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A. SNYDERMAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-28",
        "status": "A",
        "authorized_official_last_name": "SNYDERMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-985-4820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "MD039738E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyie D Debeary
• Melat Debela, PHARMD
• Jennifer Deberardinis
• Olivia Debiase, LCSW
• Anahita F Deboo, MD
• Deborah'S Choice Homecare LLC
• Keeshina Rosalind Debose
• Akili Hammond Debrady, MD
• Debrady, Akili MD PC
• Chinelo Christophe Debrady, MD

• Psychosomatic Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychosomatic Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.