Organization Active NPI

Delta Therapy LLC

  • Community/Behavioral Health Agency
  • Lafayette, NJ
National Provider Identifier
1902628928
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DELTA THERAPY LLC
Practice address
75 State Route 15 Unit G5
Lafayette, NJ 07848-3208
Phone
(973) 862-8725
NPI assigned
Oct 30, 2024
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Tasha DefeliceNPI 1174117618
Title
Owner/Psychotherapist
Phone
(973) 862-8725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

75 State Route 15 Unit G5
Lafayette, NJ 07848-3208

Mailing address

164 Lake Iliff Rd
Newton, NJ 07860-9703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416001533 NJ Part B Supplier - Clinic/Group Practice 4486179009 Receives reassigned benefits from 4 practitioners
Practice locations: Lafayette, NJ

National Provider Directory

National Provider Directory

Locations

75 State Route 15
#G5
Lafayette, NJ 07848
Phone (973) 862-8725

75 State Route 15
Unit G5
Lafayette, NJ 07848
Phone (973) 500-8642

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1902628928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LAKE ILIFF RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ROUTE 15 UNIT G5",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078483208",
            "telephone_number": "973-862-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-02-12",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "DEFELICE",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "973-862-8725"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.