Individual provider Active NPI

Adam David Dell, PSY.D.

  • Clinical Psychologist
  • Slidell, LA
National Provider Identifier
1750623989
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1925 Issued in AL
Practice address
109 Doubloon Dr
Psychological Care Services
Slidell, LA 70461-2715
Phone
(985) 641-2513
NPI assigned
Mar 26, 2013
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1925 AL Primary

Addresses

Primary practice location

109 Doubloon Dr
Psychological Care Services
Slidell, LA 70461-2715

Mailing address

109 Doubloon Dr
Psychological Care Services
Slidell, LA 70461-2715
Phone (985) 641-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191111002196 AZ Practitioner - Clinical Psychologist 0446571327 Reassigns benefits to 1 organization
I20201208002360 IN Practitioner - Clinical Psychologist 0446571327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aims LLCGroup PAC ID 6406126572, 8 clinicians

Practice addresses (Care Compare)

1625 E Jefferson Blvd
Mishawaka, IN 46545-7103
Phone (574) 255-1400

28070 County Rd
Suite 24
Elkhart, IN 46517-9717
Phone (574) 527-6298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1925ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC Clinical CurrentSince Jan 3, 2022 Accepting new patients
Aims, LLC Clinical CurrentSince Dec 1, 2020 Accepting new patients
Dr. Adam Dell, LLC Clinical CurrentSince Jul 10, 2023 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

1625 E Jefferson Blvd
Mishawaka, IN 46545
Phone (219) 257-2295

210 S Race St
Mishawaka, IN 46544
Phone (574) 229-9695

4807 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 243-7727

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1750623989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "address_2": "PSYCHOLOGICAL CARE SERVICES",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "985-641-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "address_2": "PSYCHOLOGICAL CARE SERVICES",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "985-641-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.