JOSE J DERGAN P. A
NPI 1063714178
Psychologist in Doral, FL
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jose J Dergan P. A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jose J Dergan P. A, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Jose J Dergan P. A enrolled in Medicare?
Yes. Jose J Dergan P. A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jose J Dergan P. A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jose J Dergan P. A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.