Organization Active NPI

Kimberly D Delaney, Aprn, PSYD, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1609286095
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
794 Issued in HI
Legal business name
KIMBERLY D DELANEY, APRN, PSYD, LLC
Practice address
255 SW Bluff Dr Ste 220
Bend, OR 97702-3220
Phone
(541) 382-3002
Fax
(888) 972-6509
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Kimberly D Delaney, PMHNP PSYDNPI 1720280571
Title
Provider/Owner
Phone
(541) 382-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 794 HI Primary

Addresses

Primary practice location

255 SW Bluff Dr Ste 220
Bend, OR 97702-3220

Mailing address

255 SW Bluff Dr Ste 220
Bend, OR 97702-3220
Phone (541) 382-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181002001727 OR Part B Supplier - Clinic/Group Practice 8224380217 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1609286095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SW BLUFF DR STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023220",
            "telephone_number": "541-382-3002",
            "fax_number": "888-972-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SW BLUFF DR STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023220",
            "telephone_number": "541-382-3002",
            "fax_number": "888-972-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D DELANEY, APRN, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "541-382-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP PSYD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.