Individual provider Active NPI

Delia Maria Silva, PSY.D.

  • Clinical Neuropsychologist
  • San Diego, CA
National Provider Identifier
1295963288
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY22738 Issued in CA
Practice address
1901 1St Ave.
Ste 245
San Diego, CA 92101
Phone
(858) 964-0722
Fax
(866) 437-0375
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY22738 CA Primary
Clinical Psychologist 103TC0700X PSY22738 CA
Health Psychologist 103TH0004X PSY22738 CA
Rehabilitation Psychologist 103TR0400X PSY22738 CA

Addresses

Primary practice location

1901 1St Ave.
Ste 245
San Diego, CA 92101

Mailing address

1901 1St Ave.
Ste 245
San Diego, CA 92101
Phone (858) 964-0722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000202 CA Practitioner - Clinical Psychologist 7810182219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22738CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Neurobehavioral Clinic: a Psychological Corporation Clinical Neuropsychologist CurrentSince Dec 17, 2014 Accepting new patients
Green Room Psychology Services Incorporation PastSince Dec 31, 2016 Accepting new patients

Locations

3636 4th Ave
Ste 310
San Diego, CA 92103
Phone (858) 964-0722

1901 1st Ave
Ste 245
San Diego, CA 92101
Phone (619) 232-2225

3990 Old Town Ave
Ste C303
San Diego, CA 92110
Phone (858) 964-0722

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1295963288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE.",
            "address_2": "STE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "858-964-0722",
            "fax_number": "866-437-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE.",
            "address_2": "STE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "858-964-0722",
            "fax_number": "866-437-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "DELIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY22738",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22738",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY22738",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY22738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.