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).
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 |
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 |
Street Address |
500 W 10TH ST |
City | WILMINGTON |
State | DE |
Zip Code | 19801-1422 |
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 |
Find all providers in the same location |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 19801 |
Please comment or provide details below to improve the information on MR. DOUGLAS PETTIFORD.
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.