TREY VICTOR DELLUCCI PHD
NPI 1639759350
Psychologist - Clinical in Indianapolis, IN

Q: What is Trey Dellucci's NPI number?

The NPI number for Trey Dellucci is 1639759350. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Trey Dellucci's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Trey Dellucci was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2021PECOS Enrolled

1002 WISHARD BLVD STE 1100, INDIANAPOLIS, IN 46202(317) 274-8812(317) 274-0133 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2025, Apr 8, 2021 (2 updates tracked since 2021).

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About Trey Victor Dellucci Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREY VICTOR DELLUCCI PHD (NPI 1639759350) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (20043873B) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1639759350

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTREY VICTOR DELLUCCICredential: PHD

Location Address1002 WISHARD BLVD STE 1100Indianapolis, IN 46202-4164

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-8812

Fax(317) 274-0133

Sole ProprietorNo

Enumeration DateApril 8, 2021

Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1639759350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20043873B

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1002 WISHARD BLVD STE 1100, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1One Park Avenue, 7th FloorNew York, NY 10016 · Phone (225) 636-0833

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trey Victor Dellucci Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Trey Dellucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Pediatric Associates, Inc.

0.3 mi

Pediatrics

705 RILEY HOSPITAL DR, RR 127
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
294 clinicians in this Medicare group

NPI 1457396541 (317) 777-6435

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS ANN MCENTIRE MS, CGC

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