MR. DOUGLAS PETTIFORD


Address: 500 W 10th St, Wilmington, DE 19801-1422
Phone: 3029843380

MR. DOUGLAS PETTIFORD (NPI# 1285034769) 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) 1285034769
Entity Type Individual
Full Name MR. DOUGLAS PETTIFORD
Practice Address 500 W 10th St
Wilmington
DE 19801-1422
Practice Telephone 3029843380
Practice Fax Number 3029843324
Mailing Telephone 3029843380
Mailing Fax Number 3029843324
Enumeration Date 2014-09-03
Last Update Date 2014-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1341 DE Behavioral Health & Social Service Providers

Office Location

Street Address 500 W 10TH ST
City WILMINGTON
State DE
Zip Code 19801-1422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003846163 Ranga Nathan Ram Psychiatry & Neurology 500 W 10th St, Connections Csp Inc, Wilmington, DE 19801-1422 2006-07-04
1831560283 Christopher Park Social Worker 500 W 10th St, Wilmington, DE 19801-1422 2015-10-12
1447642533 Francine Greene Counselor 500 W 10th St, Wilmington, DE 19801-1422 2015-02-26
1770975039 Lauren Blair Social Worker 500 W 10th St, Wilmington, DE 19801-1422 2015-02-24
1194120089 Susan P Barkauskie Nurse Practitioner 500 W 10th St, Wilmington, DE 19801-1422 2014-11-04
1013312388 Lisa Mae Shaffer Counselor 500 W 10th St, Wilmington, DE 19801 2014-10-29
1366859969 Meagan Iwaskiewicz Counselor 500 W 10th St, Wilmington, DE 19801-1422 2014-07-15
1194130096 Jill Walters Counselor 500 W 10th St, Wilmington, DE 19801-1422 2014-06-30
1639593700 Jennifer Williams Counselor 500 W 10th St, Wilmington, DE 19801-1422 2014-02-10
1265855084 Connections Community Support Programs, Inc. Counselor 500 W 10th St, Wilmington, DE 19801-1422 2014-01-30
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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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443734 Haylee Allen Counselor 2515 Costmary Ln Unit 11, Wilmington, NC 28412-2448 2020-10-08
1174130686 Devan James Carroll Counselor 311 Judges Rd Ste E, Wilmington, NC 28405-3651 2020-09-29
1891306833 Kyara Panula Beck Counselor 1104 N Adams St, Wilmington, DE 19801-1327 2020-08-13
1205447679 Outreach Recovery II Counselor 1007 N Orange St Fl 4, Wilmington, DE 19801-1242 2020-08-11
1861010183 Charles Franklin Lyon Counselor 3805 New Holland Dr, Wilmington, NC 28412-7155 2020-07-13
1407478092 Samantha Renee Lomske Counselor 48 Randolph St, Wilmington, OH 45177-2731 2020-05-18
1659908853 Andrena Caroline Cooley Counselor 3420 Wrightsville Ave, Wilmington, NC 28403-4118 2020-03-26
1376026559 Debra Joy Frump Counselor 232 N South St, Wilmington, OH 45177-1649 2018-09-13
1831671791 Kristin Jones Counselor 2206a Wrightsville Ave, Wilmington, NC 28403-2406 2018-09-06
1043798853 Shareeda Cephas Counselor 2507 W 6th St, Wilmington, DE 19805-2908 2018-08-02
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Competitor

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City WILMINGTON
Zip Code 19801

Improve Information

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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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