PSYCHOTHERAPEUTIC SERVICES INC (NPI# 1417192584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417192584 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES INC |
| Practice Address |
630 W. Division St Suite F Dover DE 19904 |
| Mailing Address |
870-2 High Street Chestertown MD 21620 |
| Practice Telephone | 3026727159 |
| Practice Fax Number | 3026727178 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | MR. RANDALL L COOPER (CFO) |
| Authorized Official Telephone | 4107789114 |
| Is Organization Subpart | Y |
| Parent Organization Name | PSYCHOTHERAPEUTIC SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
106301 | DE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000520561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790145209 | Psychotherapeutic Services Inc | Clinic/Center | 514 W Lebanon Rd, Dover, DE 19901-6158 | 2016-02-25 |
| 1033578893 | Psychotherapeutic Services Inc | Clinic/Center | 1420 Mckee Rd, Dover, DE 19904-1378 | 2016-02-22 |
| 1689699274 | Psychotherapeutic Services Inc | Psychologist | 2015 Peachtree Run Rd, Dover, DE 19901 | 2006-07-13 |
| 1083164339 | Psychotherapeutic Services Inc | Clinic/Center | 21 Saulsbury Road, Dover, DE 19904-2760 | 2016-10-11 |
| Street Address |
630 W. DIVISION ST SUITE F |
| City | DOVER |
| State | DE |
| Zip Code | 19904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636013 | Psychotherapeutic Children's Services | Clinic/Center | 630 W Division Street, Suite F, Dover, DE 19904 | 2008-11-13 |
| 1356816433 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1699240770 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1255806337 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1154857472 | Union Association of The Children's Home | Clinic/Center | 1012 College Rd, Suite 101, Dover, DE 19904-6506 | 2017-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1780733170 | Aquila of Delaware, Inc | Clinic/Center | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2007-01-09 |
| 1164501318 | State of Delaware Dscyf | Clinic/Center | 493 E Main St, Middletown, DE 19709-1463 | 2006-11-06 |
| 1144309394 | State of Delaware Dscyf | Clinic/Center | 1825 Faulkland Rd, Wilmington, DE 19805-1121 | 2006-11-06 |
| 1801361977 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1881169969 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1225564966 | Carol E Bouzoukis Phd | Clinic/Center | 4001 Kennett Pike, Suite 244, Greenville, DE 19807-2315 | 2017-05-01 |
| 1295269447 | Union Association of The Children's Home | Clinic/Center | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2017-04-14 |
| 1578011185 | Devereux Foundation | Clinic/Center | 630 Churchmans Rd, Newark, DE 19702-1900 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
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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.