Individual provider Active NPI

Carol Tavani, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1053386441
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C10061912 Issued in DE
Practice address
501 West 14TH Street
3Rd Floor
Wilmington, DE 19801
Phone
(302) 428-2100
Fax
(302) 428-2121
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C10061912 DE Primary

Addresses

Primary practice location

501 West 14TH Street
3Rd Floor
Wilmington, DE 19801

Mailing address

PO Box 30170
Wilmington, DE 19805
Phone (302) 623-7362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000656 DE Practitioner - PsychiatryPractitioner - Neuropsychiatry 0042106718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Newark, DE 19713-2070
Phone (302) 454-9900

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10061912DEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Psychiatric Services PA Psychiatry CurrentSince Feb 24, 1984 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients
Dr. Alex Jacobson Psychiatry, LLC Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 124
Newark, DE 19713
Phone (302) 454-9900

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600

501 W 14th St
#4
Wilmington, DE 19801
Phone (302) 661-3070

501 W 14th St
Fl 3
Wilmington, DE 19801
Phone (302) 320-2962

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1053386441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-623-7362",
            "fax_number": "302-623-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEST 14TH STREET",
            "address_2": "3RD FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-428-2100",
            "fax_number": "302-428-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVANI",
        "first_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10061912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.