STATE OF DELAWARE (NPI# 1215009097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215009097 |
| Entity Type | Organization |
| Organization Name | STATE OF DELAWARE |
| Other Organization Name | CASE MANAGEMENT-NORTH |
| Practice Address |
417 Federal St Dover DE 19901-3635 |
| Practice Telephone | 3027444548 |
| Practice Fax Number | 3027391613 |
| Mailing Telephone | 3027444548 |
| Mailing Fax Number | 3027391613 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | KARYL RATTAY (DIRECTOR) |
| Authorized Official Telephone | 3027444700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000301057 | 05 |
| Other Name | Type Code |
|---|---|
| Case Management-North | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669977930 | State of Delaware | Case Management | 1054 S Governors Ave, Dover, DE 19904-6920 | 2018-03-28 |
| 1114283850 | State of Delaware | Clinic/Center | 669 S Carter Rd, Smyrna, DE 19977-1752 | 2012-04-06 |
| 1932243805 | State of Delaware | Local Education Agency (LEA) | 945 Forest St, Dover, DE 19904-3401 | 2007-02-16 |
| 1841334711 | State of Delaware | Local Education Agency (LEA) | 318 E Basin Rd, New Castle, DE 19720-4214 | 2007-02-16 |
| 1568506434 | State of Delaware | Local Education Agency (LEA) | 519 N Market St, Wilmington, DE 19801-3004 | 2007-02-16 |
| 1730223603 | State of Delaware | Local Education Agency (LEA) | 82 Monrovia Ave, Smyrna, DE 19977-1431 | 2007-02-16 |
| 1194869065 | State of Delaware | Local Education Agency (LEA) | 1121 Thatcher St, Wilmington, DE 19802-5135 | 2007-02-16 |
| 1487798351 | State of Delaware | Local Education Agency (LEA) | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2007-02-16 |
| 1013051986 | State of Delaware | Local Education Agency (LEA) | 21 N Bradford St, Dover, DE 19904-3101 | 2007-02-16 |
| 1740324615 | State of Delaware | Local Education Agency (LEA) | 2200 N Locust St, Wilmington, DE 19802-4429 | 2007-02-16 |
| Street Address |
417 FEDERAL ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033298294 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-11-06 |
| 1124216585 | Karyl T. Rattay | Pediatrics | 417 Federal St, Dover, DE 19901-3635 | 2007-10-11 |
| 1386768612 | Herman Martin Ellis | Preventive Medicine | 417 Federal St, Dover, DE 19901-3635 | 2007-03-19 |
| 1851455067 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-21 |
| 1114087921 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-11 |
| 1891854402 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-08 |
| 1841358264 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| 1649338062 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| 1477611895 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| 1104984525 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| 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). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306918180 | State of Delaware | Psychologist | 417 Federal St, Dover, DE 19901-3635 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689733792 | Connections Community Support Programs, Inc. | Psychologist | 3821 Lancaster Pike, Wilmington, DE 19805-1512 | 2006-12-06 |
| 1487982880 | Self Realization, LLC | Psychologist | 102 Sleepy Hollow Dr, Ste 200, Middletown, DE 19709-5841 | 2009-11-23 |
Please comment or provide details below to improve the information on STATE OF DELAWARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.