Active NPI
Thomas Paul Delaney, PHD
- Clinical Psychologist
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY16600
- Practice address
- 1173 N Dixie Dr
Ste. 101
San Dimas, CA 91773-1200 - Phone
- (626) 231-7500
- Fax
- (909) 447-0522
- NPI assigned
- Jul 19, 2006
- Last updated
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY16600 | CA | Primary |
Addresses
Primary practice location
1173 N Dixie Dr
Ste. 101
San Dimas, CA 91773-1200
Mailing address
1173 N Dixie Dr
Ste. 101
San Dimas, CA 91773-1200
Phone (626) 231-7500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY166000 | Other | CA | MEDI-CAL |
| CP16600A | Other | CA | MEDICARE PTAN S.CA |
| CA230030 | Other | CA | MEDICARE PTAN N.CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022000805 | CA | Practitioner - Clinical Psychologist | 4981665981 | Practice locations: Riverside, CA; San Dimas, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1173 N Dixie Dr
Suite 101
San Dimas, CA 91773-1200
Phone (626) 231-7500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16600 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Joshua Kritsada Koh a Professional Psychiatric Corporation | Past | Accepting new patients | |
| Lina Shuhaibar MD, Inc. a Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- casacolina@direct.casacolina.org
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.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- Psychiatry Physician
- San Dimas, CA
- NPI 1114249240
-
- Medical Specialty Clinic/Center
- Covina, CA
- NPI 1316145550
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Foothill Presbyterian Hospital
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1699794388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 N DIXIE DR",
"address_2": "STE. 101",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917731200",
"telephone_number": "626-231-7500",
"fax_number": "909-447-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 N DIXIE DR",
"address_2": "STE. 101",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917731200",
"telephone_number": "626-231-7500",
"fax_number": "909-447-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANEY",
"first_name": "THOMAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY16600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "PSY166000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN S.CA",
"identifier": "CP16600A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN N.CA",
"identifier": "CA230030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.