Active NPI
Yissell Delvalle, MD
- Psychiatry Physician
- Englewood, NJ
National Provider Identifier
1750585709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA08210700
- Practice address
- 14 N Dean St
Englewood, NJ 07631-2807 - Phone
- (917) 345-4273
- Fax
- (201) 460-0913
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA08210700 | NJ | Primary |
Addresses
Primary practice location
14 N Dean St
Englewood, NJ 07631-2807
Mailing address
6000 Washington St
West New York, NJ 07093-1420
Phone (201) 864-4897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6000 Washington St
West New York, NJ 07093-1420
Phone (201) 490-4075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Psychiatric Consultants LLC | Current | Accepting new patients | |
| Psychiatry on Video LLC | Psychiatry | Current | Accepting new patients |
| Palisade Behavioral Care, PA | Psychiatry | Past | Accepting new patients |
| NJ Behavioral Care Inc. | Psychiatry | Past | Accepting new patients |
Locations
14 N Dean St
Englewood, NJ 07631
Phone (201) 646-8015
235 Prospect Ave
Ste Lf
Hackensack, NJ 07601
Phone (201) 489-0099
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- West New York, NJ
- NPI 1508182072
-
- Psychiatry Physician
- Ridgewood, NJ
- NPI 1700532587
-
- Psychiatry Physician
- Jersey City, NJ
- NPI 1770249385
-
- Psychiatry Physician
- West Orange, NJ
- NPI 1235247248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1750585709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 WASHINGTON ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931420",
"telephone_number": "201-864-4897",
"fax_number": "201-460-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312807",
"telephone_number": "917-345-4273",
"fax_number": "201-460-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELVALLE",
"first_name": "YISSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA08210700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.