NPIMap

Organization Active NPI

Nicolle Deleo LMHC PSYD PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1063750347
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8799 Issued in FL
Legal business name
NICOLLE DELEO LMHC PSYD PA
Practice address
2755 East Oakland Park Blvd.
Suite 225
Fort Lauderdale, FL 33307-2841
Phone
(954) 260-8790
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Nicolle A. Deleo, PSYD, LMHCNPI 1841528874
Title
Owner/President
Phone
(954) 260-8790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 10032 FL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 8799 FL Primary

Addresses

Primary practice location

2755 East Oakland Park Blvd.
Suite 225
Fort Lauderdale, FL 33307-2841

Mailing address

2755 E Oakland Park Blvd
Suite 225
Fort Lauderdale, FL 33306-1637
Phone (954) 260-8790

Other names 1

  • Fort Lauderdale Psychology PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Fort Lauderdale Psychology PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1063750347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 E OAKLAND PARK BLVD",
            "address_2": "SUITE 225",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061637",
            "telephone_number": "954-260-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 EAST OAKLAND PARK BLVD.",
            "address_2": "SUITE 225",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333072841",
            "telephone_number": "954-260-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLLE DELEO LMHC PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "DELEO",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-260-8790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10032",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Lauderdale Psychology PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.