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STATE OF DELAWARE NPI 1215009097


NPI Information

NPI: 1215009097
Provider Name: STATE OF DELAWARE

Other Name: CASE MANAGEMENT-NORTH

Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
417 FEDERAL ST
DOVER, DE
ZIP 19901
Phone: (302) 744-4548
Get Directions

STATE OF DELAWARE is a health service psychologist in Dover, DE. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). STATE OF DELAWARE NPI is 1215009097. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Case Management-north.

The provider's business location address is:

417 FEDERAL ST
DOVER, DE
ZIP 19901-635
Phone: (302) 744-4548
Fax: (302) 739-1613

The provider's authorized official is Karyl Rattay .
The authorized official title is Director and has the following contact phone number (302) 744-4700.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 12/1/2011.


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
1103TH0100XPsychologistHealth ServiceYes

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
10000301057MEDICAIDDELAWARE

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

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