PIKE CREEK PSYCHOLOGICAL CENTER (NPI# 1255407698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255407698 |
| Entity Type | Organization |
| Organization Name | PIKE CREEK PSYCHOLOGICAL CENTER |
| Practice Address |
8 Polly Drummond Hill Rd Newark DE 19711-5703 |
| Practice Telephone | 3027386859 |
| Practice Fax Number | 3023685309 |
| Mailing Telephone | 3027386859 |
| Mailing Fax Number | 3023685309 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JD WILLETTS II (DIRECTOR) |
| Authorized Official Telephone | 3027386859 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| X | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8 POLLY DRUMMOND HILL RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982770301 | Jd Willetts II | Psychologist | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2006-11-28 |
| 1679120406 | Aimee Katherine Sellers | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2019-08-26 |
| 1861807018 | Gretchen Mahoney | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2014-06-26 |
| 1194003129 | Pamela Jean Laporte | Social Worker | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2011-07-25 |
| 1245494905 | Courtney L Slater | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2008-07-11 |
| 1518009653 | Cathy Chiu | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2007-02-13 |
| 1710029319 | Jeffrey Dean Ernst | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2007-02-12 |
| 1821152661 | Tisha Michelle Smith | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2006-12-19 |
| 1104987569 | Kim P Champion | Psychologist | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2006-12-12 |
| 1417015926 | Erin J Worden | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502115 | Jaclyn Marie Tomasetti | Counselor | 5 Cognac Dr, Newark, DE 19702-5507 | 2020-09-14 |
| 1770195422 | Emily S Moley | Counselor | 125 Blossom Rd, Newark, NY 14513-2010 | 2020-08-23 |
| 1871104000 | Jump Kids LLC | Counselor | 16 Foster St, Newark, NJ 07114-1327 | 2020-08-11 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
| 1851912620 | Shaista Sowell | Counselor | 162 Clinton Pl, Newark, NJ 07112-1602 | 2020-05-02 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1275173049 | Ibn Abdush Musa Ahmad | Counselor | 182 Johnson Ave, Newark, NJ 07108-2709 | 2020-01-09 |
| 1629617303 | Alyana Blythe | Counselor | 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 | 2019-12-30 |
| 1194364141 | Healing Source LLC | Counselor | 35 Wenark Dr Apt 2, Newark, DE 19713-1445 | 2019-12-21 |
| Find all providers in NEWARK | ||||
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| 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.