Individual provider Active NPI

David V Daleo, PSYD

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1508866781
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 18066 Issued in CA
Practice address
9200 W Olympic Blvd
Suite 108
Beverly Hills, CA 90212-4687
Phone
(310) 956-2345
Fax
(310) 728-6372
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 18066 CA Primary
Psychologist 103T00000X PSY 18066 CA

Addresses

Primary practice location

9200 W Olympic Blvd
Suite 108
Beverly Hills, CA 90212-4687

Mailing address

9200 W Olympic Blvd
Suite 108
Beverly Hills, CA 90212-4687
Phone (310) 956-2345

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
PSY 18066CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1508866781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W OLYMPIC BLVD",
            "address_2": "SUITE 108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124687",
            "telephone_number": "310-956-2345",
            "fax_number": "310-728-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W OLYMPIC BLVD",
            "address_2": "SUITE 108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124687",
            "telephone_number": "310-956-2345",
            "fax_number": "310-728-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEO",
        "first_name": "DAVID",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18066",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 18066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.