SUN BEHAVIORAL DELAWARE, LLC (NPI# 1073168738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073168738 |
| Entity Type | Organization |
| Organization Name | SUN BEHAVIORAL DELAWARE, LLC |
| Practice Address |
21655 Biden Ave Georgetown DE 19947-4573 |
| Mailing Address |
12 Broad St Ste 403 Red Bank NJ 07701-1938 |
| Practice Telephone | 3026045600 |
| Practice Fax Number | 3024501262 |
| Mailing Telephone | 9724674461 |
| Mailing Fax Number | 7327471818 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | TOM ROURKE (SVP CORPORATE DEVELOPMENT) |
| Authorized Official Telephone | 9724674461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| SUN Behavioral Delaware | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391013 | Sun Behavioral Delaware, LLC | Clinic/Center | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2020-03-16 |
| 1891213179 | Sun Behavioral Delaware, LLC | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-09-06 |
| Street Address |
21655 BIDEN AVE |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-4573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043249386 | John Melbourne Mcgraw | Psychiatry & Neurology | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2006-06-30 |
| 1598391013 | Sun Behavioral Delaware, LLC | Clinic/Center | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2020-03-16 |
| 1619488764 | Peter Dioh Musu | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-10-17 |
| 1891213179 | Sun Behavioral Delaware, LLC | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274942 | Amanda Leigh Chappell | Nurse Practitioner | 30618 Saint Andrews Dr, Georgetown, TX 78628-1245 | 2020-01-23 |
| 1639650831 | Amanda Dawn Jarvis | Nurse Practitioner | 804 Mohegan Trl, Georgetown, KY 40324-1016 | 2018-08-24 |
| 1841554623 | Bobbi Jo Poston | Nurse Practitioner | 106 Parker Pl, Georgetown, KY 40324-9133 | 2012-06-27 |
| 1568931244 | Eunice Mwaura | Nurse Practitioner | 2423 Williams Dr Ste 108, Georgetown, TX 78628-3269 | 2018-11-25 |
| 1255817896 | Monika Adamaszek | Nurse Practitioner | 711 N College St, Georgetown, TX 78626-4105 | 2018-07-17 |
| 1235630427 | Candice Schrodetzki | Nurse Practitioner | 700 Se Inner Loop, Georgetown, TX 78626 | 2018-02-23 |
| 1619488764 | Peter Dioh Musu | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-10-17 |
| 1891213179 | Sun Behavioral Delaware, LLC | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-09-06 |
| 1336661974 | Marc Ernest Biala | Nurse Practitioner | 700 Se Inner Loop, Georgetown, TX 78626 | 2017-07-14 |
| 1336596030 | Dsantanna, LLC | Nurse Practitioner | 3101 S Austin Ave, Georgetown, TX 78626-7541 | 2016-05-23 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 19947 |
Please comment or provide details below to improve the information on SUN BEHAVIORAL DELAWARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.