PSYCHOTHERAPEUTIC SERVICES INC (NPI# 1790145209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790145209 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES INC |
| Practice Address |
514 W Lebanon Rd Dover DE 19901-6158 |
| Mailing Address |
870 High Street Suite 2 Chestertown MD 21620 |
| Practice Telephone | 3022575828 |
| Mailing Telephone | 4107881099 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | RANDALL LEWIS COOPER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4108102468 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | PSI MENS SUD RESIDENTIAL HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578893 | Psychotherapeutic Services Inc | Clinic/Center | 1420 Mckee Rd, Dover, DE 19904-1378 | 2016-02-22 |
| 1417192584 | Psychotherapeutic Services Inc | Clinic/Center | 630 W. Division St, Suite F, Dover, DE 19904 | 2008-12-03 |
| 1689699274 | Psychotherapeutic Services Inc | Psychologist | 2015 Peachtree Run Rd, Dover, DE 19901 | 2006-07-13 |
| 1083164339 | Psychotherapeutic Services Inc | Clinic/Center | 21 Saulsbury Road, Dover, DE 19904-2760 | 2016-10-11 |
| Street Address |
514 W LEBANON RD |
| City | DOVER |
| State | DE |
| Zip Code | 19901-6158 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578893 | Psychotherapeutic Services Inc | Clinic/Center | 1420 Mckee Rd, Dover, DE 19904-1378 | 2016-02-22 |
| 1679906465 | Excel Treatment Center of Dover, LLC | Clinic/Center | 58 N Sussex St, Dover, NJ 07801-3912 | 2013-08-15 |
| 1063982114 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-12-03 |
| 1427528678 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-11-30 |
| 1225503303 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1083164339 | Psychotherapeutic Services Inc | Clinic/Center | 21 Saulsbury Road, Dover, DE 19904-2760 | 2016-10-11 |
| 1982081154 | Bonfire Behavioral Health | Clinic/Center | 10 Grove St, Dover, NH 03820-3334 | 2015-04-27 |
| 1588085690 | Southeastern New Hampshire Alcohol and Drug Services | Clinic/Center | 272 County Farm Rd, Dover, NH 03820-6003 | 2013-12-17 |
| 1730440041 | Community Mental Healthcare, Inc. | Clinic/Center | 201 Hospital Dr, Dover, OH 44622-2058 | 2012-06-04 |
| 1528361623 | Holcomb Associates Inc. | Clinic/Center | 884 Walker Rd Ste B, Dover, DE 19904-2758 | 2010-12-10 |
| 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.