Individual provider Active NPI

Shirley Delva, PH.D.

  • Psychologist
  • North Miami Beach, FL
National Provider Identifier
1679881429
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8268 Issued in FL
Practice address
2020 NE 163Rd St
Suite300 F
North Miami Beach, FL 33162-4927
Phone
(786) 565-7925
Fax
(305) 948-9785
NPI assigned
Sep 15, 2010
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8268 FL Primary

Addresses

Primary practice location

2020 NE 163Rd St
Suite300 F
North Miami Beach, FL 33162-4927

Mailing address

2020 NE 163Rd St
Suite 300 F
North Miami Beach, FL 33162-4927
Phone (786) 565-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8268FLMDPsychologist

Organizations & group practices 1

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1679881429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "SUITE 300 F",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "786-565-7925",
            "fax_number": "305-948-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "SUITE300 F",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "786-565-7925",
            "fax_number": "305-948-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVA",
        "first_name": "SHIRLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "8268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.