Active NPI
Jaris M Delgado, M.S
- Psychologist
- Springfield, MA
National Provider Identifier
1720496839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- XXXX
- Practice address
- 417 Liberty St
Springfield, MA 01104-3736 - Phone
- (413) 747-0705
- Fax
- (413) 732-7075
- NPI assigned
- Aug 1, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | XXXX | PR | Primary |
Addresses
Primary practice location
417 Liberty St
Springfield, MA 01104-3736
Mailing address
58 Mercury CT
Arms Apartments L2
West Springfield, MA 01089-3282
Phone (787) 478-6498
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXX | PR | MD | Psychologist |
| 10924 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1720496839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MERCURY CT",
"address_2": "ARMS APARTMENTS L2",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010893282",
"telephone_number": "787-478-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 LIBERTY ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011043736",
"telephone_number": "413-747-0705",
"fax_number": "413-732-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "JARIS",
"middle_name": "M",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-01",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "XXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.