PSYCHOTHERAPEUTIC SERVICES INC NPI 1417192584

NPI Information

  • NPI: 1417192584
  • Provider Name: PSYCHOTHERAPEUTIC SERVICES INC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 630 W. DIVISION ST
    SUITE F
    DOVER, DE
    ZIP 19904
  • Phone: (302) 672-7159

Map and Directions

Get Directions

NPI Details

PSYCHOTHERAPEUTIC SERVICES INC is an adolescent and children mental health clinic center in Dover, DE. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. PSYCHOTHERAPEUTIC SERVICES INC NPI is 1417192584. The provider is registered as an organization entity type.

The provider's business location address is:

630 W. DIVISION ST
SUITE F
DOVER, DE
ZIP 19904
Phone: (302) 672-7159
Fax: (302) 672-7178

The provider's authorized official is Randall L Cooper .
The authorized official title is Cfo and has the following contact phone number (410) 778-9114.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental Health106301DELAWAREYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000520561MEDICAIDDELAWARE

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI