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DELAWARE MENTOR NPI 1588937486


NPI Information

NPI: 1588937486
Provider Name: DELAWARE MENTOR
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
28417 DUPONT HIGHWAY
MILLSBORO, DE
ZIP 19966
Phone: (732) 627-9890
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DELAWARE MENTOR is an intellectual and developmental disabilities in Millsboro, DE. DELAWARE MENTOR NPI is 1588937486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28417 DUPONT HIGHWAY
MILLSBORO, DE
ZIP 19966-209
Phone: (732) 627-9890
Fax: (732) 563-6780

The provider's authorized official is Brett Ian Cohen .
The authorized official title is Coo and has the following contact phone number (800) 388-5150.

The enumeration date for this NPI number is 2/23/2012 and was last updated on 3/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TR0400XPsychologistRehabilitationNo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesNo
3103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000123MEDICAIDDELAWARE
2250596940MEDICAIDDELAWARE
3221000123MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.