Active NPI
Jeffrey Mead Dalia, PSY.D.
- Forensic Psychologist
- West Palm Beach, FL
National Provider Identifier
1891918520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PY6473
- Practice address
- 205 N Dixie Hwy Ste 4.1100
West Palm Beach, FL 33401-4522 - Phone
- (561) 355-4005
- Fax
- (561) 355-4004
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PY6473 | FL | Primary |
Addresses
Primary practice location
205 N Dixie Hwy Ste 4.1100
West Palm Beach, FL 33401-4522
Mailing address
136 Lost Bridge Dr
Palm Beach Gardens, FL 33410-4471
Phone (561) 308-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6473 | FL | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1891918520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 LOST BRIDGE DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104471",
"telephone_number": "561-308-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N DIXIE HWY STE 4.1100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334014522",
"telephone_number": "561-355-4005",
"fax_number": "561-355-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALIA",
"first_name": "JEFFREY",
"middle_name": "MEAD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY6473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.