Individual provider Active NPI

Dawnyelle Delongchamp, LEP#4577

  • School Psychologist
  • Riverside, CA
National Provider Identifier
1275428229
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LEP4577 Issued in CA
Practice address
3610 Central Ave Ste 400
Riverside, CA 92506-5907
Phone
(909) 255-6113
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LEP4577 CA Primary
Behavior Analyst 103K00000X 1-14-16777 CA

Addresses

Primary practice location

3610 Central Ave Ste 400
Riverside, CA 92506-5907

Mailing address

3610 Central Ave Ste 400
Riverside, CA 92506-5907
Phone (909) 255-6113

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

State licenses

LicenseStateTypeSpecialty
LEP4577CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1275428229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065907",
            "telephone_number": "909-255-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065907",
            "telephone_number": "909-255-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONGCHAMP",
        "first_name": "DAWNYELLE",
        "credential": "LEP#4577",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP4577",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.