DR. GREGORY ADAM WITKIN (NPI# 1245606920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245606920 |
| Entity Type | Individual |
| Full Name | DR. GREGORY ADAM WITKIN |
| Credential | PHD |
| Practice Address |
1600 Rockland Rd Wilmington DE 19803-3607 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 3026514200 |
| Practice Fax Number | 6467549538 |
| Mailing Telephone | 3026514000 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | B1-0001105 | DE | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 021232 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35S100566000 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1600 ROCKLAND RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844345 | Lee Pachter | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2005-07-13 |
| 1871194852 | Joanna Smith | Psychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-11-05 |
| 1508465766 | Claudia Van Lenten | Social Worker | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
| 1043819170 | Erica Reighard | Nurse Practitioner | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
| 1962018325 | Madison Rausch | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-09-21 |
| 1558979088 | Aniela Grzezulkowska | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-07-21 |
| 1427674951 | Molly Anne Haislip | Registered Nurse | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-06-20 |
| 1295358471 | Molly Beitman | Dietitian, Registered | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-22 |
| 1861015158 | Emily Clouser | Speech-Language Pathologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-21 |
| 1396367454 | Andrea Schelhaas | Genetic Counselor, MS | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699002089 | Cynthia R Fitzsimmons | Clinical Neuropsychologist | 313 Walnut St Ste 107, Wilmington, NC 28401-4063 | 2009-11-05 |
| 1184717605 | Richard A. Berg, PC | Clinical Neuropsychologist | 5010 Randall Parkway, Wilmington, NC 28403 | 2006-10-02 |
| 1508968843 | Antonio E Puente | Clinical Neuropsychologist | 1508 Military Cutoff Road, Ste 303, Wilmington, NC 28403 | 2006-09-05 |
| 1861439895 | Richard G. Ivins | Clinical Neuropsychologist | 1601 Concord Pike, Suite 92-100, Wilmington, DE 19803-3612 | 2006-05-31 |
| 1033161658 | Barbara Briggs | Clinical Neuropsychologist | 1073 Creekside Dr, Wilmington, DE 19804-3930 | 2006-05-16 |
| 1144218744 | Frederick Kurz | Clinical Neuropsychologist | 1601 Delaware Ave, Suite 32 B, Wilmington, DE 19806-3303 | 2005-10-10 |
| 1831689520 | Danielle Bosenbark | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-05-17 |
| 1194265793 | Laura Freeman | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-03-01 |
| 1063890192 | Maya Zayat | Clinical Neuropsychologist | 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | 2015-05-08 |
| 1932452745 | Katie L Freeman | Clinical Neuropsychologist | 410 Foulk Rd, Wilmington, DE 19803 | 2012-10-17 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
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| 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.