Active NPI
Debra M Drucker, M.D.
- Child & Adolescent Psychiatry Physician
- Hollywood, FL
National Provider Identifier
1730295676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME0059538
- Practice address
- 4600 Sheridan St
Suite 400
Hollywood, FL 33021-3409 - Phone
- (954) 989-3600
- Fax
- (954) 894-1884
- NPI assigned
- Aug 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0059538 | FL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME0059538 | FL | Primary |
Addresses
Primary practice location
4600 Sheridan St
Suite 400
Hollywood, FL 33021-3409
Mailing address
4600 Sheridan St
Suite 400
Hollywood, FL 33021-3409
Phone (954) 989-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150219001379 | FL | Order and Referring Only - Psychiatry | 9638170004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0059538 | FL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1730295676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 SHERIDAN ST",
"address_2": "SUITE 400",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213409",
"telephone_number": "954-989-3600",
"fax_number": "954-894-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SHERIDAN ST",
"address_2": "SUITE 400",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213409",
"telephone_number": "954-989-3600",
"fax_number": "954-894-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUCKER",
"first_name": "DEBRA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0059538",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME0059538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
- DRS Pass & Frydman PA (South Florida Dental Care)
- DRS. Better & Satanosky, PA
- DRS. Richter & Liakhovetski PA
- DRS. Willens & Greenberg, PA (Hollywood Podiatry Associates)
- David Em Drucker, MD
- Scott David Drucker, D.M.D.
- Druey Vision Group, LLC
- Druey Vision Retail Group LLC (My Eye Lab)
- Drug and Alcohol Recovery Center, Inc.
- Darlene O Duardo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.