AQUILA OF DELAWARE, INC (NPI# 1780733170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780733170 |
| Entity Type | Organization |
| Organization Name | AQUILA OF DELAWARE, INC |
| Practice Address |
1812 Newport Gap Pike Wilmington DE 19808-6179 |
| Practice Telephone | 3029991106 |
| Practice Fax Number | 3029991753 |
| Mailing Telephone | 3029991106 |
| Mailing Fax Number | 3029991753 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MR. MANDELL J MUCH (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3029991106 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1991830288 | DE | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | CIGNA | 37761 | 01 |
| DE | COMPSYCH | 174428 | 01 |
| DE | BLUE CROSS BLUE SHIELD DE | 159139 | 01 |
| DE | VALUE OPTIONS | A066181 | 01 |
| DE | AETNA | 0602528 | 01 |
| Street Address |
1812 NEWPORT GAP PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-6179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222364 | Dana Leslie Conklin-malusa | Social Worker | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2019-12-14 |
| 1881176634 | Meredith Eastburn Holmes | Social Worker | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2018-08-29 |
| 1104348895 | Kirsten Teklits | Social Worker | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2017-07-13 |
| 1801344015 | Tyler Hohman | Social Worker | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2016-09-16 |
| 1144632050 | Elizabeth Galasso | Social Worker | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2014-05-27 |
| 1144536947 | Kimberly Samson | Marriage & Family Therapist | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2010-08-31 |
| 1336455138 | Wendy Joines | Counselor | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2010-08-31 |
| 1477869261 | Lauren Rhoades | Psychologist | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2010-08-31 |
| 1780990580 | Rhonda Dukes | Marriage & Family Therapist | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2010-08-31 |
| 1336455120 | Leonard Nelson | Psychologist | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2010-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175469 | Magnolia Wellness Group, PC | Clinic/Center | 1904 Eastwood Rd Ste 313, Wilmington, NC 28403-5728 | 2018-12-10 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1518929850 | Pace, Inc. | Clinic/Center | 5171 W Woodmill Dr, Suite 9, Wilmington, DE 19808-4067 | 2006-04-03 |
| 1487116430 | Christiana Care Health Initiatives | Clinic/Center | 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 | 2019-04-01 |
| 1821580093 | Metta Counseling Inc | Clinic/Center | 2601 Annand Dr Ste 7, Wilmington, DE 19808 | 2018-06-04 |
| 1225538267 | Golden Mean Health, Pllc | Clinic/Center | 2311 Canterwood Dr, Wilmington, NC 28401-7300 | 2018-02-16 |
| 1518349000 | Launch Pad Wellness LLC | Clinic/Center | 3121 Wrightsville Ave, Wilmington, NC 28403-4111 | 2015-06-22 |
| 1770986564 | Suburban Psychiatric Services | Clinic/Center | 5177 W Woodmill Dr, Suite 6, Wilmington, DE 19808-4067 | 2014-10-07 |
| 1013345560 | Concord Behavioral Health | Clinic/Center | 1300 Pennsylvania Ave, Wilmington, DE 19806-4311 | 2013-10-20 |
| 1699081950 | Holcomb Associates Inc. | Clinic/Center | 2400 W 4th St, Wilmington, DE 19805-3306 | 2010-08-25 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
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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.