Organization Active NPI

Delany's Healthcare

  • Primary Care Clinic/Center
  • Mansfield, OH
National Provider Identifier
1497373864
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DELANY'S HEALTHCARE
Practice address
390 Marion Ave
Mansfield, OH 44903-2015
Phone
(419) 775-7534
Fax
(419) 775-7537
NPI assigned
Jul 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Vicki Marie Delany, CNPNPI 1851521959
Title
Owner
Phone
(419) 775-7534

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Primary Care Clinic/Center 261QP2300X Primary
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

390 Marion Ave
Mansfield, OH 44903-2015

Mailing address

390 Marion Ave
Mansfield, OH 44903-2015
Phone (419) 775-7534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019001216 OH Part B Supplier - Clinic/Group Practice 9830519503 Receives reassigned benefits from 2 practitioners
Practice locations: Mansfield, OH

National Provider Directory

National Provider Directory

Locations

680 Park Ave W
Mansfield, OH 44906
Phone (419) 522-1100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1497373864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032015",
            "telephone_number": "419-775-7534",
            "fax_number": "419-775-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032015",
            "telephone_number": "419-775-7534",
            "fax_number": "419-775-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANY'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-11",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "DELANY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-775-7534",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.