NPIMap

Organization Active NPI

Connections Community Support Programs, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, DE
National Provider Identifier
1013264415
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Practice address
1423 Capitol Trail (BLDG. 1), Suite 1210
Newark, DE 19711
Phone
(302) 894-7900
Fax
(302) 737-1460
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jevon Z Hicks
Title
Director
Phone
(302) 377-2358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X DE Primary

Addresses

Primary practice location

1423 Capitol Trail (BLDG. 1), Suite 1210
Newark, DE 19711

Mailing address

3821 Lancaster Pike
Wilmington, DE 19805-1512
Phone (302) 442-6622

Other names 1

  • ACT Team 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connections CSP Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

1423 Capitol Trl
Bldg 1
Newark, DE 19711
Phone (302) 565-6697

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1013264415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051512",
            "telephone_number": "302-442-6622",
            "fax_number": "302-984-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRAIL (BLDG. 1), SUITE 1210",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-894-7900",
            "fax_number": "302-737-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEVON",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-377-2358"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACT Team 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACT Team 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.