Valdea Delano Jennings, ED.D

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PS000363L Issued in PA

Practice address

333 W Mount Airy Ave
Phila, PA 19119-2941

Phone

(215) 248-5228

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487707006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MOUNT AIRY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191192941",
            "telephone_number": "215-248-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MOUNT AIRY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191192941",
            "telephone_number": "215-248-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "VALDEA",
        "middle_name": "DELANO",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS000363L",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PA",
            "license": "PS000363L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JD Mobile Phlebotomy LLC
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• Jefferson University Physicians
• Earl D Jenkins, B.A.
• Erin Jenkins, MBA, M.S.
• Antonia Jimenez-Trail
• Joel M. Weissman M.D.P.C.
• Johnson Senior Homecare Agency, Inc.
• Lynn Johnson-Gleaton, LPC
• Charles Johnson, PHD

• Health Service Psychologist in Phila, PA
• Providers in Phila, PA by specialty
• Health Service Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.