Organization Active NPI

Soar, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, DE
National Provider Identifier
1063659977
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
103TP2701X Issued in DE
Legal business name
SOAR, INC.
Practice address
405 Foulk Rd
Wilmington, DE 19803-3809
Phone
(302) 655-3953
Fax
(302) 838-2551
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Ms. Evelyn Cruz, LPCMH, NCC
Title
Psychotherapist
Phone
(302) 655-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 103TP2701X DE Primary

Addresses

Primary practice location

405 Foulk Rd
Wilmington, DE 19803-3809

Mailing address

405 Foulk Rd
Wilmington, DE 19803-3809
Phone (302) 655-3953

National Provider Directory

National Provider Directory
Tax ID family
Soar2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

405 Foulk Rd
Wilmington, DE 19803
Phone (302) 655-1100

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1063659977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033809",
            "telephone_number": "302-655-3953",
            "fax_number": "302-838-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033809",
            "telephone_number": "302-655-3953",
            "fax_number": "302-838-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "302-655-3953",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCMH, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "103TP2701X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.