Jill Nicole Delie, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4043-57 Issued in WI

Practice address

10150 W National Ave Ste 315
West Allis, WI 53227-2145

Phone

(414) 545-4430

Fax

(414) 545-4454

NPI assigned

Jun 11, 2019

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Vibrant Child Psychology Services LLC

  • Psychologist
  • West Allis, WI
  • NPI 1104648369
  Medicare reassignment NPD Authorized official
• Integrative Psyche, LLC

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1255704565
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1437718624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE",
            "address_2": "SUITE 315",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272153",
            "telephone_number": "262-668-8870",
            "fax_number": "414-310-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 315",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-545-4430",
            "fax_number": "414-545-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIE",
        "first_name": "JILL",
        "middle_name": "NICOLE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4160-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4160-226",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "4043-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedrick Home Care Services LLC
• Kayla Deitte
• Meghan Elizabeth Dejong, P.T.
• Dek Co. Inc. (Rainbow Park Home)
• Claudia Delain
• Rayne Alexis Deluz
• Dennis R Anderson DDS SC
• Lea Salome Denny, LPC-IT
• Andrew Dentino, DDS, PHD
• Michelle Ann Depa, APRN, CRNA

• Psychologist in West Allis, WI
• Providers in West Allis, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.