JOSE J DERGAN P. A
NPI 1063714178
Psychologist in Doral, FL

Active since November 22, 2010
8249 NW 36TH ST STE 100, DORAL, FL 33166(305) 599-1970(305) 599-1971 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose J Dergan P. A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE J DERGAN P. A (NPI 1063714178) is a healthcare organization registered as a psychologist in Doral, Florida and active in the NPI registry since November 2010. The organization lists Lourdes Dergan, Manager, as its authorized official.

NPPES Registry Identity

NPI1063714178
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJOSE J DERGAN P. A
Location Address8249 NW 36TH ST STE 100Doral, FL 33166-6673
Mailing Address8249 Nw 36th St Ste 100Doral, FL 33166-6673 · (305) 599-1970 · Fax (305) 599-1971
Fax(305) 599-1971
Organization SubpartNo
Authorized OfficialLourdes DerganManager · (305) 599-1970
Enumeration DateNovember 22, 2010
Last NPPES UpdateMay 24, 2011
NPI 1063714178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY4206
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8249 NW 36TH ST STE 100, Doral, FL 33166

Other Identifiers 1

Medicare PIN73524FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose J Dergan P. A's NPI number?

The NPI number for Jose J Dergan P. A is 1063714178. It was assigned to this organization in the NPPES registry on November 22, 2010.

Where is Jose J Dergan P. A located?

Jose J Dergan P. A is located at 8249 NW 36th St Ste 100, Doral, FL 33166. The listed phone number is (305) 599-1970.

What is Jose J Dergan P. A's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jose J Dergan P. A was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.