Bryan Delvin, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4618 Issued in MN

Practice address

420 E Sarnia St
Winona, MN 55987-6365

Phone

(507) 454-4341

Fax

(507) 453-6267

NPI assigned

Nov 10, 2005

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hiawatha Valley Mental Health Center IncGroup PAC ID 7113026998, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/hvmhc/r4/

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.

• Hiawatha Valley Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winona, MN
  • NPI 1184606337
  Medicare reassignment Care Compare group NPD
• Hiawatha Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Wing, MN
  • NPI 1215327432
  NPD (past)
• Hiawatha Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caledonia, MN
  • NPI 1912223033
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1871574228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVIN",
        "first_name": "BRYAN",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "140014",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23D21DE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215872800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Degallier, PA-C
• Paul Degallier, DDS
• Peter Roland Degallier, DENTAL THERAPIST
• Christianne Danielle Del Castillo
• Ashley Delaurentis
• Courtney E Dembiec, DDS
• Dale G Dennis, DC
• Thomas Leo Diana, PH.D.
• Robert Paul Dickhudt, LADC
• Jennifer Dieck, LPCC, LADC

• Psychologist in Winona, MN
• Providers in Winona, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.

Verify at the official NPI Registry.