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NATIONAL STRESS CLINIC LLC NPI 1093011413


NPI Information

NPI: 1093011413
Provider Name: NATIONAL STRESS CLINIC, LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization

CLIA Number: 08D0206200

Address:
1201 N ORANGE ST
SUITE 600
WILMINGTON, DE
ZIP 19801
Phone: (646) 571-8627
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NATIONAL STRESS CLINIC, LLC is a psychologist in Wilmington, DE. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. NATIONAL STRESS CLINIC, LLC NPI is 1093011413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1201 N ORANGE ST
SUITE 600
WILMINGTON, DE
ZIP 19801-155
Phone: (646) 571-8627

The provider's authorized official is Tim Jackson .
The authorized official title is Director and has the following contact phone number (646) 571-8627.

The CLIA number assigned to this NPI record is 08D0206200 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2011 and was last updated on 2/2/2011.


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
1103T00000XPsychologist03127MARYLANDNo
2103T00000XPsychologist2592-057WISCONSINNo
3103TC0700XPsychologistClinical1214HAWAIINo
41041C0700XSocial WorkerClinicalMFT (MFC) 37695CALIFORNIANo
5103T00000XPsychologist071-005431ILLINOISYes

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: 11/14/2023

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