STATE OF DE NPI 1609895762

NPI Information

  • NPI: 1609895762
  • Provider Name: STATE OF DE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: NC COMMUNITY MENTAL HEALTH CENTER
  • Address: 809 N WASHINGTON ST
    WILMINGTON, DE
    ZIP 19801
  • Phone: (302) 577-6490

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NPI Details

STATE OF DE is a mental health (including community mental health center) clinic center in Wilmington, DE. STATE OF DE NPI is 1609895762. The provider is registered as an organization entity type.
The provider Is Doing Business As Nc Community Mental Health Center.

The provider's business location address is:

809 N WASHINGTON ST
WILMINGTON, DE
ZIP 19801-509
Phone: (302) 577-6490

The provider's authorized official is Stanley J Kotula .
The authorized official title is Medical Director/director Of Clinci and has the following contact phone number (302) 576-6093.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/31/2008.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
1629454MEDICARE ID-TYPE UNSPECIFIEDDELAWAREMEDICARE PROVIDER NUMBER
2609724MEDICAIDDELAWARE

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: 11/21/2025

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