Pittman Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

L8-0000124 Issued in DE

Legal business name

PITTMAN BEHAVIORAL HEALTH LLC

Practice address

102 Sleepy Hollow Dr
Suite 204 Bunker Hill Building
Middletown, DE 19709-5841

Phone

(302) 365-0384

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Taresa Pittman, NP

Title

Owner/Nurse Practitioner

Phone

(302) 365-0384

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1053732883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BORDEAUX BLVD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024546",
            "telephone_number": "302-521-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 204 BUNKER HILL BUILDING",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095841",
            "telephone_number": "302-365-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTMAN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TARESA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "302-365-0384",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DE",
            "license": "L8-0000124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1417380312",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Phillips, LAT, ATC
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• Kiana N Pittman
• Taresa Pittman, PMHNP
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• Dianne Nicole Polite, RN
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Middletown, DE
• Providers in Middletown, DE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.