Organization Active NPI

John R. Delaney MD PA

  • Psychiatry Physician
  • South Pasadena, FL
National Provider Identifier
1750541629
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0017826 Issued in FL
Legal business name
JOHN R. DELANEY MD PA
Practice address
1135 Pasadena Ave S
South Pasadena, FL 33707-2887
Phone
(727) 344-1476
Fax
(727) 344-1477
NPI assigned
Jun 13, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. John R Delaney, M.D.
Title
President
Phone
(727) 344-1476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0017826 FL Primary

Addresses

Primary practice location

1135 Pasadena Ave S
South Pasadena, FL 33707-2887

Mailing address

1849 Brightwaters Blvd NE
St Petersburg, FL 33704-3005
Phone (727) 344-1476

Other identifiers 1

IdentifierTypeStateIssuer
038575100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1135 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 344-1476

1135 Pasadena Ave S
Ste 150
South Pasadena, FL 33707
Phone (727) 344-1476

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1750541629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 BRIGHTWATERS BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043005",
            "telephone_number": "727-344-1476",
            "fax_number": "727-344-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PASADENA AVE S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072887",
            "telephone_number": "727-344-1476",
            "fax_number": "727-344-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. DELANEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-344-1476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0017826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038575100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.