Deloach Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008906 Issued in IL

Legal business name

DELOACH BEHAVIORAL HEALTH, LLC

Practice address

3166 N Lincoln Ave
Ste 425
Chicago, IL 60657-3133

Phone

(216) 513-1862

NPI assigned

Oct 25, 2016

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shondale Deloach, PH.D.

Title

Clinical Psychologist

Phone

(216) 513-1862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1881146959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "STE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "216-513-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "STE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "216-513-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELOACH BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "SHONDALE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-513-1862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Delman, LSW
• Jennifer Delmonaco, PA-C
• Jessica Lynn Delmonaco, PT, DPT
• Robert Delmore, MS, ATC
• Celso D Delmundo, M.D.
• Dosha Deloach-Hamilton
• Patrick Deloach, LMFT
• Shondale Deloach, PH.D.
• Albert James Deloney IV, LCSW
• Jeremy Steven Delor, PHARMD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.