Healthcare Provider Details

I. General information

NPI: 1902826969
Provider Name (Legal Business Name): DEBORAH JANE SILVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 01/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 CAPISTRANO AVE
BERKELEY CA
94707-1804
US

IV. Provider business mailing address

1690 CAPISTRANO AVE
BERKELEY CA
94707-1804
US

V. Phone/Fax

Practice location:
  • Phone: 510-527-7744
  • Fax: 510-527-7745
Mailing address:
  • Phone: 510-527-7744
  • Fax: 510-527-7744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG78225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: