Denise Ann Deluca, PSY.D.
Individual provider Active NPI Clinical Psychologist · Pine Brook, NJ
NPI 1063573756 · NPPES record last updated Jan 5, 2015
Key facts
- NPI
- 1063573756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3455 (NJ)
- Practice address
- 339 Changebridge Rd
Suite 1a
Pine Brook, NJ 07058-9576 - Phone
- (201) 919-2285
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NJ Behavioral Health Services PC
Practice addresses (Care Compare)
140 E Ridgewood Ave
Suite 415
Paramus, NJ 07652-3915
Phone (800) 275-3243
339 Changebridge Rd
Suite 1a
Pine Brook, NJ 07058-9577
Phone (201) 919-2285
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427000920 | NJ | Practitioner - Clinical Psychologist | 7719206606 |
Reassigns benefits to 1 organization Practice locations: Pine Brook, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3455 | NJ | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Behavioral Health Services PC | Clinical | Current |
Accepting new patients |
Locations
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3455 | NJ | Yes |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3455 | NJ |
Addresses
Primary practice location
339 Changebridge Rd
Suite 1a
Pine Brook, NJ 07058-9576
Mailing address
106 Old Wood LN
Boonton, NJ 07005-1635
Phone (973) 335-2164
Other providers in Pine Brook, NJ
- Christine Jeffrey LCSW LLC
- Dawn Cifuentes
- Lauren Michelle Cirule
- Counseling and Academic Services, LLC
- Gabrielle Darienzo
- Jacqueline Anne Doddy
- Stephanie Dorime
- Dr Mack Functional & Family Medicine PC
- Michal Dubowski
- Paige Elizabeth Dwight Dickman
All providers in Pine Brook, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.