Michael Dorfman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD050324L Issued in PA

Practice address

7300 Raeford Rd # 2D
Fayetteville, NC 28304-0807

Phone

(910) 475-6352

NPI assigned

Aug 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Hahnemann University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Creative Health Services, IncGroup PAC ID 2365340528, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

87.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Creative Health Services, Inc.

  • Child & Adolescent Psychiatry Physician
  • Pottstown, PA
  • NPI 1124194121
  Medicare reassignment Care Compare group NPD
• Creative Health Services Inc

  • Psychiatry Physician
  • Boyertown, PA
  • NPI 1508933656
  NPD

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1629060587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RAEFORD RD # 2D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040807",
            "telephone_number": "910-475-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 RAEFORD RD # 2D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040807",
            "telephone_number": "910-475-6352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Marchwood Rd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411835",
            "country_code": "US",
            "telephone_number": "610-280-3959",
            "fax_number": "610-280-9776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050324L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01564449",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sue Donoughe, MS CCC SLP
• Jessica Donvito, M.ED., LBA, BCBA
• Amy Doolan-Roy, MD
• Hannah Dopson
• Madelaine Doran, PA-C
• Verna Mae Dority, LCSW
• Jolene R. Dorleus
• Karissa Dorleus, MS, CCC-SLP
• Lavetta Dorsey
• Catherine Ewing Doss, P.A.

• Psychiatry Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.

Verify at the official NPI Registry.