Individual provider Active NPI

Nicole M Duffy, PHD

  • Psychologist
  • Newark, DE
National Provider Identifier
1528493384
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
B1-0001009 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Helen F. Graham Cancer Center, Suite 2200
Newark, DE 19713-2055
Phone
(302) 623-4500
Fax
(302) 623-4720
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X B1-0001009 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Helen F. Graham Cancer Center, Suite 2200
Newark, DE 19713-2055

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150602002534 DE Practitioner - Clinical Psychologist 9335460328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

100 Sunnyside Rd
Smyrna, DE 19977-1752
Phone (302) 653-1900

4735 Ogletown Stanton Rd
Newark, DE 19713-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
B1-0001009DEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Psychologist CurrentSince Apr 18, 2015 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 18, 2015 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1528493384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "HELEN F. GRAHAM CANCER CENTER, SUITE 2200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-623-4500",
            "fax_number": "302-623-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.