PSI ACIST PROGRAM (NPI# 1366999310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366999310 |
| Entity Type | Organization |
| Organization Name | PSI ACIST PROGRAM |
| Practice Address |
983 Forest St Dover DE 19904-3447 |
| Practice Telephone | 3024809590 |
| Practice Fax Number | 3024809591 |
| Mailing Telephone | 3024809590 |
| Mailing Fax Number | 3024809591 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MARCIA LYNN CLENDANIEL (BILLING MANAGER) |
| Authorized Official Telephone | 4108102465 |
| Is Organization Subpart | Y |
| Parent Organization Name | PSYCHOTHERAPEUTIC SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1990037507 | DE | Agencies |
| Street Address |
983 FOREST ST |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124471115 | Psychotherapeutic Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 983 Forest St, Dover, DE 19904-3447 | 2016-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1205372059 | Gail | Community/Behavioral Health | 278 Wilmas Way, Dover, DE 19901-5538 | 2017-01-17 |
| 1861942336 | Everlasting Hope Counseling Center | Community/Behavioral Health | 1302 Donelson Pkwy, Dover, TN 37058-3753 | 2016-10-09 |
| 1891248522 | Triple Heart Counseling, LLC | Community/Behavioral Health | 51 Highview Ter, Dover, NJ 07801-2014 | 2016-07-29 |
| 1033588447 | Christian Counseling Center | Community/Behavioral Health | 13309 Walden Sheffield Rd, Dover, FL 33527-5547 | 2015-09-16 |
| 1871983908 | Hope Aba Therapy of North Jersey | Community/Behavioral Health | 9 Hillsdale Dr, Dover, NJ 07801-2509 | 2015-01-27 |
| 1659776185 | Rays of Light, LLC | Community/Behavioral Health | 219 Carter Rd, Dover, DE 19901-5522 | 2014-10-27 |
| 1528483674 | Behavior Interventions | Community/Behavioral Health | 263 Northdown Dr, Dover, DE 19904-9745 | 2014-02-26 |
| 1508154857 | Catholic Social Services of Morris County, Inc. | Community/Behavioral Health | 19-21 Belmont Ave, Dover, NJ 07801-4107 | 2011-07-20 |
| 1831494327 | Murrell Social Services Network-nc | Community/Behavioral Health | 255 Belltown Rd, Dover, NC 28526-9760 | 2011-01-14 |
| Find all providers in DOVER | ||||
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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.