Individual provider Active NPI

Victoria Y Delong, MD

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1831293398
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35062567 Issued in OH
Practice address
312 Locust St
Akron, OH 44302-1878
Phone
(330) 762-0591
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35062567 OH Primary

Addresses

Primary practice location

312 Locust St
Akron, OH 44302-1878

Mailing address

312 Locust St
Akron, OH 44302-1801
Phone (330) 762-0591

Other identifiers 1

IdentifierTypeStateIssuer
0912089MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000578 OH Practitioner - PsychiatryPractitioner - Neurology 0840454765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35062567OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Paths, Inc. CurrentSince Jun 14, 2017 Accepting new patients
Alternative Paths Inc. CurrentSince Jun 14, 2017 Accepting new patients
Child Guidance & Family Solutions Past Accepting new patients

Locations

246 Northland Dr
Ste 140
Medina, OH 44256
Phone (330) 723-9600

246 Northland Dr
Ste 200A
Medina, OH 44256
Phone (330) 725-9195

246 Northland Dr
Medina, OH 44256
Phone (330) 723-9600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1831293398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 LOCUST ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021801",
            "telephone_number": "330-762-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 LOCUST ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021878",
            "telephone_number": "330-762-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "VICTORIA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35062567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0912089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.