DR. PETA CLARKSON (NPI# 1588792501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588792501 |
| Entity Type | Individual |
| Full Name | DR. PETA CLARKSON |
| Credential | M.D. |
| Practice Address |
825 N Washington St Wilmington DE 19801-1509 |
| Mailing Address |
125 Ashford Dr Chadds Ford PA 19317-8230 |
| Practice Telephone | 3026557110 |
| Practice Fax Number | 3026556185 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C1-0007596 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000037785 | 05 |
| Street Address |
825 N WASHINGTON ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839309 | Lara F Jaradat | Psychiatry & Neurology | 825 N Washington St, Wilmington, DE 19801-1509 | 2006-02-10 |
| 1689203481 | David Pulley | Counselor | 825 N Washington St, Wilmington, DE 19801-1509 | 2020-04-03 |
| 1477036440 | Crysta Harris | Counselor | 825 N Washington St, Wilmington, DE 19801-1509 | 2018-09-14 |
| 1063943371 | Jenine Weber | Psychiatry & Neurology | 825 N Washington St, Wilmington, DE 19801-1509 | 2017-03-27 |
| 1235548223 | Kathleen King | Social Worker | 825 N Washington St, Wilmington, DE 19801-1509 | 2014-08-05 |
| 1194144543 | Courtney Waters-stroman | Counselor | 825 N Washington St, Wilmington, DE 19801-1509 | 2014-04-14 |
| 1760699458 | Charles Webb | Psychologist | 825 N Washington St, Wilmington, DE 19801-1509 | 2007-05-16 |
| 1245364637 | Jason Scott Lorber | Social Worker | 825 N Washington St, Wilmington, DE 19801-1509 | 2007-03-15 |
| 1275661563 | Renee Murch | Psychologist | 825 N Washington St, Wilmington, DE 19801-1509 | 2007-03-01 |
| 1558499830 | Thomas Vail | Social Worker | 825 N Washington St, Wilmington, DE 19801-1509 | 2007-03-01 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
| 1902046832 | Yadvinder K Sandhu | Psychiatry & Neurology | 3229 S College Rd, Wilmington, NC 28412-6740 | 2009-03-05 |
| 1811192065 | Maria Annette Mccarthy | Psychiatry & Neurology | 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 | 2007-06-18 |
| 1467502773 | Imran Trimzi | Psychiatry & Neurology | 5163 W Woodmill Dr Ste 13, Wilmington, DE 19808-4067 | 2007-01-11 |
| 1083679062 | Dwight H Lysne | Psychiatry & Neurology | 20 S 16th St, Wilmington, NC 28401-4924 | 2006-04-20 |
| 1205442688 | Saurabh Gupta Md LLC | Psychiatry & Neurology | 410 Foulk Rd Ste 106, Wilmington, DE 19803-3835 | 2020-09-21 |
| 1093200479 | Allison Taylor Dovi | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-06-27 |
| 1063943371 | Jenine Weber | Psychiatry & Neurology | 825 N Washington St, Wilmington, DE 19801-1509 | 2017-03-27 |
| 1326306267 | Zachariah D. Pranckun | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2012-04-29 |
| 1942568142 | Amanda Cassel Castro | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2012-04-25 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
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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.