KELLY TAN-HAASE (NPI# 1275781858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275781858 |
| Entity Type | Individual |
| Full Name | KELLY TAN-HAASE |
| Credential | PSY.D. |
| Practice Address |
1521 Concord Pike Suite 103 Wilmington DE 19803 |
| Practice Telephone | 3024280205 |
| Practice Fax Number | 3024281123 |
| Mailing Telephone | 3024280205 |
| Mailing Fax Number | 3024281123 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | B1-0000787 | DE | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 922801200 | 05 | |
| DE | BLUE CROSS | 015467782 | 01 |
| DE | CIGNA | 2650058 | 01 |
| DE | COMPSYCH | 178385 | 01 |
| Street Address |
1521 CONCORD PIKE SUITE 103 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710947536 | Kelly Beth Cunningham | Counselor | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2006-03-24 |
| 1821428046 | Cynthia Ann Edwards | Counselor | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2013-11-25 |
| 1841639135 | Richard Michael Lombino II | Social Worker | 1521 Concord Pike, West Bldg, 3rd Floor, Suite 301, Wilmington, DE 19803 | 2013-06-19 |
| 1780969204 | Sleep Disorders Management, LLC | Internal Medicine | 1521 Concord Pike, Brandywine West, Suite #301, Wilmington, DE 19803-3642 | 2011-10-15 |
| 1316246069 | Linda J. Zervas | Social Worker | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2011-03-21 |
| 1891027819 | John Paul Brunelle | Psychologist | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2010-02-01 |
| 1871763789 | Tamara Perry | Psychologist | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2008-03-06 |
| 1649399247 | Amy Suzanne Diehl | Psychologist | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2007-03-28 |
| 1275622839 | Associates In Health Psychology LLC | Counselor | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2006-10-12 |
| 1740375872 | Mary L Snowdown | Counselor | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2006-10-04 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193114 | Inroad Behavioral and Social Health | Psychologist | 3304 Old Capitol Trl Ste 201, Wilmington, DE 19808-6210 | 2020-04-24 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1346733631 | Renee Davis | Psychologist | 920 Morningdale Dr, Wilmington, DE 19810-1458 | 2018-06-11 |
| 1982103206 | Elizabeth De La Pena | Psychologist | 1333 Island Ave, Wilmington, CA 90744-2501 | 2018-02-02 |
| 1841728532 | Rogelio Mercado | Psychologist | 1801 Rockland Rd Ste 201, Wilmington, DE 19803-3648 | 2017-05-25 |
| 1497289375 | Aitza Galarza-hernandez | Psychologist | 7517 Quail Woods Rd, Wilmington, NC 28411-7273 | 2017-04-17 |
| 1407206816 | Leeann Trudel | Psychologist | 114 Rockland Cir, Wilmington, DE 19803-4542 | 2016-06-16 |
| 1972964427 | Ostin M Warren | Psychologist | 3411 N Rockfield Dr, Wilmington, DE 19810-3237 | 2016-03-11 |
| 1164882353 | Erika Blinn Geisler | Psychologist | 330 Military Cutoff Rd, Suite A-4, Wilmington, NC 28405-8356 | 2016-03-01 |
| 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.