Jan Stephen Cavanaugh, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

B1-0000713 Issued in DE

Practice address

840 S Broom St
Wilmington, DE 19805-4245

Phone

(800) 819-1655

Fax

(800) 819-1655

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jancavanaugh@tdh.allscriptsdirect.net

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629005681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 VIEWRIDGE AVE",
            "address_2": "STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231680",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S BROOM ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054245",
            "telephone_number": "800-819-1655",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JAN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Caudill, MSS
• Kathy Caudle, OT/L
• Colleen Marie Caulfield, MS, RD
• Anna Caulk
• Alena Cavalieri, APN
• Maryann Cavanaugh
• Michele Cavanaugh, APRN
• Bianca Cavedoni Urbano, MD
• Daniel Albert Caycedo, M.D.
• Emi H Caywood, MD

• All providers in Wilmington, DE
• Clinical Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.