Individual provider Active NPI

Delphine Joanne Demore, PH.D.

  • Psychologist
  • Tarzana, CA
National Provider Identifier
1528099611
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11711 Issued in CA
Practice address
18345 Ventura Blvd
Suite 300
Tarzana, CA 91356-4232
Phone
(818) 757-3800
Fax
(818) 757-3895
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY11711 CA Primary

Addresses

Primary practice location

18345 Ventura Blvd
Suite 300
Tarzana, CA 91356-4232

Mailing address

18345 Ventura Blvd
Suite 300
Tarzana, CA 91356-4232
Phone (818) 757-3800

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
I20210608001574 CA Practitioner - Clinical Psychologist 4587824230 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6345 Balboa Blvd
Suite 212
Encino, CA 91316-1517
Phone (818) 757-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11711CAMDPsychologist
11711CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mpower, Inc PastSince Sep 5, 2023 Accepting new patients
Ramin Ganjianpour, M.D., Inc. Past Accepting new patients
Dr. Staci Wold Psychological Services Corporation Past Accepting new patients

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1528099611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD",
            "address_2": "SUITE 300",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564232",
            "telephone_number": "818-757-3800",
            "fax_number": "818-757-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD",
            "address_2": "SUITE 300",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564232",
            "telephone_number": "818-757-3800",
            "fax_number": "818-757-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORE",
        "first_name": "DELPHINE",
        "middle_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.