Provider Demographics
NPI:1578536348
Name:COFFEY, BARBARA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JANE
Last Name:COFFEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST STE 1455
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-355-7103
Mailing Address - Fax:305-355-9012
Practice Address - Street 1:1120 NW 14TH ST STE 1455
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-355-7103
Practice Address - Fax:305-355-9012
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA397732084P0800X, 2084P0804X
FLME1327222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0111309Medicaid
MA039773OtherTUFTS HEALTH PLAN
A66944Medicare UPIN
MA039773OtherTUFTS HEALTH PLAN