Delaney Fullenkamp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

521984 Issued in IN

Practice address

1316 W Dragoon TRL
Mishawaka, IN 46544-4713

Phone

(219) 608-2190

NPI assigned

Sep 2, 2022

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Journeys Behavior Learning Center LLC

  dba Journeys Autism Center

  • Developmental Disabilities Clinic/Center
  • Mishawaka, IN
  • NPI 1467924324
  NPD (past)

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1619697133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 IRONWORKS AVE APT 447",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442076",
            "telephone_number": "219-608-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444713",
            "telephone_number": "219-608-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLENKAMP",
        "first_name": "DELANEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IN",
            "license": "521984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Freedline, FNP-BC
• Salena Nast Freeman
• Jennifer Joan Frey, PHARMD
• Tyler Fritz
• Charles G Fry, BA
• Elizabeth Theis Gable
• Lyndsay Gable, FNP-BC
• Lisa Gabler, COTA
• Gabriele Eye Institute
• Noah Gaffney

• Multi-Specialty Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

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

Verify at the official NPI Registry.