REBECCA SMOLAK-KETTLEHAKE PSY D LLC (NPI# 1497134100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497134100 |
| Entity Type | Organization |
| Organization Name | REBECCA SMOLAK-KETTLEHAKE PSY D LLC |
| Practice Address |
200 Biddle Ave Suite 105 Newark DE 19702-3968 |
| Practice Telephone | 3022616901 |
| Practice Fax Number | 3023656072 |
| Mailing Telephone | 3022616901 |
| Mailing Fax Number | 3023656072 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |
| Authorized Official Name | DR. REBECCA ANN SMOLAK-KETTLEHAKE (PSYCHOLOGIST) |
| Authorized Official Telephone | 3022616901 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
B1-0000893 | DE | Behavioral Health & Social Service Providers |
| Street Address |
200 BIDDLE AVE SUITE 105 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366473969 | Bayada Home Health Care, Inc. | Home Health | 200 Biddle Ave, Suite 111, Newark, DE 19702-3968 | 2006-07-05 |
| 1518205137 | Delaware Oral & Maxillofacial Surgery,llc | Dentist | 200 Biddle Ave, 214, Newark, DE 19702-3968 | 2013-01-17 |
| 1255603593 | Rebecca Ann Smolak-kettlehake | Psychologist | 200 Biddle Ave, Suite 105, Newark, DE 19702-3968 | 2012-02-02 |
| 1780976019 | Silly Smiles, LLC | Dentist | 200 Biddle Ave, Suite 201, Newark, DE 19702-3968 | 2011-05-04 |
| 1902063910 | Eric R. Copes | Dentist | 200 Biddle Ave, Suite 201, Newark, DE 19702-3968 | 2008-05-19 |
| 1942389671 | Candace Lyn D'antonio | Social Worker | 200 Biddle Ave, Suite 105, Newark, DE 19702-3968 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047746 | Center for Grief Therapy and Education, P.a. | Psychologist | 300 Creek View Rd Ste 101a, Newark, DE 19711-8547 | 2019-11-15 |
| 1467097113 | Creekview Psychological Assessment Center, Pa | Psychologist | 300 Creek View Rd Ste 101b, Newark, DE 19711-8547 | 2019-11-15 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1235654088 | American International Clinical Enterprise | Psychologist | 50 Norfolk St, Newark, NJ 07103-3228 | 2017-08-12 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1467857334 | Kendra Koehler | Psychologist | Christiana Care Health System 4755 Rd, Suite 1070, Newark, DE 19718-0001 | 2014-11-04 |
| 1265834493 | Charlotte Selig | Psychologist | 19 Newland Ct, Newark, DE 19713-2815 | 2014-09-18 |
| 1558617423 | Justin Robert Misurell | Psychologist | 185 Washington St, Metro Rdtc, Newark, NJ 07102-3011 | 2012-07-30 |
| 1295025146 | Rosemary Szczechowski | Psychologist | 14 Willow Creek Ln, Newark, DE 19711-3422 | 2011-04-12 |
| 1982902722 | Sally Ramsden Barker | Psychologist | J-25 Omega Drive, Newark, DE 19713-0000 | 2011-03-03 |
| Find all providers in NEWARK | ||||
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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.