Provider Demographics
NPI:1902826969
Name:SILVER, DEBORAH JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JANE
Last Name:SILVER
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 1:1690 CAPISTRANO AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1804
Mailing Address - Country:US
Mailing Address - Phone:510-527-7744
Mailing Address - Fax:510-527-7744
Practice Address - Street 1:1690 CAPISTRANO AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-1804
Practice Address - Country:US
Practice Address - Phone:510-527-7744
Practice Address - Fax:510-527-7745
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG782252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOG782250Medicare ID - Type Unspecified
F31634Medicare UPIN