AVIVA MENTAL HEALTH SERVICES INC


Address: 219 W 9th St, Wilmington, DE 19801-1619
Phone: 6105224506

AVIVA MENTAL HEALTH SERVICES INC (NPI# 1144830738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144830738
Entity Type Organization
Organization Name AVIVA MENTAL HEALTH SERVICES INC
Practice Address 219 W 9th St
Wilmington
DE 19801-1619
Mailing Address 320 Macdade Blvd Ste 205
Darby
PA 19023-1926
Practice Telephone 6105224506
Practice Fax Number 6105224508
Mailing Telephone 6105224506
Mailing Fax Number 6105224508
Enumeration Date 2020-08-07
Last Update Date 2020-08-07
Authorized Official Name MRS. SUSMARIA CHARLES (CEO)
Authorized Official Telephone 6105224506
Authorized Official Credential MHS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 1034994870001 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083110605 Aviva Mental Health Services Inc Clinic/Center 320 Macdade Blvd, Suite #205, Collingdale, PA 19023 2018-04-03

Office Location

Street Address 219 W 9TH ST
City WILMINGTON
State DE
Zip Code 19801-1619

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386126068 Meghan Cullen Specialist/Technologist 401 Garasches Lane, Wilmington, DE 19801 2018-08-30
1497257851 Jevs Human Services Psychologist 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 2018-03-01
1134627144 Limen House, Inc Substance Abuse Rehabilitation Facility 1104 N. Adams Street / Triad, Wilmington, DE 19801 2018-01-24
1538698980 Triad Ministry Inc Community/Behavioral Health 1104 N. Adams Street, Wilmington, DE 19801 2017-06-08
1649706086 Fhr -act Program Health Maintenance Organization 103a Rogers Rd., Wilmington, DE 19801 2017-05-04
1275080707 Suzanne Isenberg Social Worker 103 Rogers Roaad, Wilmington, DE 19801 2016-09-01
1467815191 Jenna Leigh Laughlin Internal Medicine 501 W 14th St., Wilmington, DE 19801 2016-03-31
1962830430 Antoinette L. Rodriguez Counselor 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 2013-10-21
1104173509 Connections Community Support Programs, Inc. Clinic/Center 500 W. 10th Street, Wilmington, DE 19801 2012-08-06
1366719916 Richard Mclaughlin Counselor 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 2011-11-28
Find all providers in zip 19801

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891307070 Aviva Health Care Services Inc Community/Behavioral Health 6 Denny Rd Ste 104, Wilmington, DE 19809-3444 2020-08-19
1679192926 Wraparound Maryland, Inc Community/Behavioral Health 105 Rogers Rd Ste A, Wilmington, DE 19801-5619 2020-04-15
1457983165 Alapocas Collaborative Care, LLC Community/Behavioral Health 1601 Concord Pike Ste 66-68, Wilmington, DE 19803-3612 2020-02-11
1477011211 M&l Prodigy Healthcare Inc Community/Behavioral Health 1 Jewel Dr, Wilmington, MA 01887-3385 2019-03-11
1457824369 Ella Stanley Therapeutic Services, Inc. Community/Behavioral Health 1000 N West St Ste 1294, Wilmington, DE 19801-1050 2019-01-03
1134608136 Alliance Behavioral Health Community/Behavioral Health 24505 S Avalon Blvd Apt 12, Wilmington, CA 90744-1068 2018-08-09
1063999688 Tlc Operations, Inc Community/Behavioral Health 28 Beauregard Dr, Wilmington, NC 28412-6702 2018-07-26
1245752765 Janelle G. Evans LLC Community/Behavioral Health 27 Tamarack Ave, Wilmington, DE 19805-5049 2017-07-17
1538698980 Triad Ministry Inc Community/Behavioral Health 1104 N. Adams Street, Wilmington, DE 19801 2017-06-08
1356881551 Jay's House, Inc Community/Behavioral Health 25 N Pennewell Dr, Wilmington, DE 19809-3313 2017-03-07
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 19801

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Dataset Information

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.

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