Active NPI
Delphine Joanne Demore, PH.D.
- Psychologist
- Tarzana, CA
National Provider Identifier
1528099611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11711 | CA | MD | Psychologist |
| 11711 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mpower, Inc | Past | 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.
-
- Clinical Psychologist
- Encino, CA
- NPI 1093643439
-
- Group Psychotherapy Psychologist
- Encino, CA
- NPI 1700661899
-
- Specialist
- Mission Hills, CA
- NPI 1184824146
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.