Jose J Dergan P. a
NPI 1063714178 · Psychologist · Doral, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose J Dergan P. a is a Psychologist organization in Doral, FL (NPI 1063714178).
Provider details
- NPI number
- 1063714178
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lourdes Dergan, Manager(305) 599-1970
- License
- PY4206 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-22
- Last updated
- 2011-05-24
Frequently asked questions
- What is Jose J Dergan P. a's NPI number?
- Jose J Dergan P. a's National Provider Identifier (NPI) is 1063714178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jose J Dergan P. a?
- Jose J Dergan P. a is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Jose J Dergan P. a located?
- Jose J Dergan P. a's practice location on file with NPPES is 8249 Nw 36th St Ste 100, Doral, FL 33166-6673.
- What is Jose J Dergan P. a's phone number?
- The practice phone number listed in the NPPES registry for Jose J Dergan P. a is (305) 599-1970.
- Does Jose J Dergan P. a accept Medicare?
- Jose J Dergan P. a is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jose J Dergan P. a?
- The authorized official listed on Jose J Dergan P. a's NPPES record is Lourdes Dergan, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jose J Dergan P. a's NPI active?
- Yes — Jose J Dergan P. a's NPI (1063714178) is active in the NPPES registry as of the last update on 2011-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.