Individual provider Active NPI

Delroy A Mercurius, BEHAVIOR ASSISTANT

  • Assistant Behavior Analyst
  • North Lauderdale, FL
National Provider Identifier
1013451152
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
7965 SW 6TH St
North Lauderdale, FL 33068-2106
Phone
(954) 290-0863
NPI assigned
Dec 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

7965 SW 6TH St
North Lauderdale, FL 33068-2106

Mailing address

7965 SW 6TH St
North Lauderdale, FL 33068-2106
Phone (954) 290-0863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1013451152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 SW 6TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682106",
            "telephone_number": "954-290-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 SW 6TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682106",
            "telephone_number": "954-290-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIUS",
        "first_name": "DELROY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BEHAVIOR ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.