Individual provider Active NPI

Shannon Lynne Delaney, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1598907446
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
265620 Issued in NY
Practice address
800A 5TH Ave Ste 203
New York, NY 10065-7215
Phone
(646) 856-9592
NPI assigned
Mar 24, 2009
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 265620 NY Primary

Addresses

Primary practice location

800A 5TH Ave Ste 203
New York, NY 10065-7215

Mailing address

800A 5TH Ave Ste 203
New York, NY 10065-7215
Phone (646) 856-9592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525002710 NY Practitioner - Psychiatry 9436319746 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Mar 15, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 15, 2021 Accepting new patients
Trustees of Columbia University in Department of Psychiatry PastSince Jan 24, 2017 Accepting new patients

Locations

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
#12
New York, NY 10032
Phone (212) 305-9758

710 W 168th St
Fl 12
New York, NY 10032
Phone (212) 305-3709

710 W 168th St
Fl 12THE
New York, NY 10032

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1598907446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657215",
            "telephone_number": "646-856-9592",
            "fax_number": "415-376-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657215",
            "telephone_number": "646-856-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "SHANNON",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "265620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.