DERRICK S. HINES M.D. P.C. (NPI# 1003912692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003912692 |
Entity Type | Organization |
Organization Name | DERRICK S. HINES M.D. P.C. |
Practice Address |
8208 S 18th Pl Phoenix AZ 85042-6837 |
Practice Telephone | 6022751348 |
Mailing Telephone | 6022751348 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2010-09-29 |
Authorized Official Name | DR. DERRICK SHAYNE HINES (PRESIDENT) |
Authorized Official Telephone | 6022751348 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
31380 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
8208 S 18TH PL |
City | PHOENIX |
State | AZ |
Zip Code | 85042-6837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
Find all providers in zip 85042 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
1417032178 | Leslie Kay Kaminski | Psychiatry & Neurology | 4001 N 3rd St, 150, Phoenix, AZ 85012-2060 | 2006-10-25 |
1376587816 | Edwin A. Perez | Psychiatry & Neurology | 3739 E. Maffeo Rd., Phoenix, AZ 85050-8342 | 2006-06-15 |
1639148950 | Eric Benjamin | Psychiatry & Neurology | 3807 N 7th St, Phoenix, AZ 85014-5005 | 2006-03-17 |
1154740314 | Sanjay Bankim Kaji | Psychiatry & Neurology | 4545 E Chandler Blvd Ste 308, Phoenix, AZ 85048-7646 | 2014-04-15 |
1003175217 | Tiffany Best | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-05-08 |
1770866527 | Chiranjir Narine | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2011-09-27 |
1588973945 | Derrick S Hines | Psychiatry & Neurology | 15648 N 35th Ave, Phoenix, AZ 85053-3861 | 2010-10-04 |
1750610184 | Melissa Anne Ramirez | Psychiatry & Neurology | 3610 N 44th St, Ste 210, Phoenix, AZ 85018-6059 | 2009-12-14 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.