Nicolle Anne Deleo, PSY D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

2755 E Oakland Park Blvd Ste 225
Fort Lauderdale, FL 33306-1629

Phone

(954) 440-7828

NPI assigned

Dec 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Nicolle Anne Deleo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fort Lauderdale Psychology PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1912438375

  Mental Health

  NPD (past) Authorized official
• Nicolle Deleo LMHC PSYD PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1063750347

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1841528874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 E OAKLAND PARK BLVD STE 225",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061629",
            "telephone_number": "954-990-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E OAKLAND PARK BLVD STE 225",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061629",
            "telephone_number": "954-440-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEO",
        "first_name": "NICOLLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10032",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8799",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLLE",
            "last_name": "DELEO",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ernest Del Valle Jr.
• Rochelle Christine Dela Paz, D.C., APRN
• Amanda N Delacruz, LCSW
• Charles Bruce Delaney, PA
• Delaware Valley Physical Medicine Associates
• Natalie Deleon, MSW, LCSW
• Domingo Delgado-Garcia, MD
• Cypres Banuelos Delgado
• Ivan Delgado, ATC
• Alicia Delisser-Nuttal

• Counseling Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.