Christiana Care Health Services Inc
Organization Active NPI Clinical Psychologist · Chadds Ford, PA
NPI 1063947323 · NPPES record last updated Dec 13, 2021
Key facts
- NPI
- 1063947323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- CHRISTIANA CARE HEALTH SERVICES INC
- Practice address
- 161 Wilmington W Chester Pike
Christiana Care Concord Health Center
Chadds Ford, PA 19317-9041 - Phone
- (610) 361-1030
- NPI assigned
- Apr 25, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- CHRISTIANA CARE HEALTH SERVICES INC
Authorized official
- Name
- Robert W McMurray Jr.
- Title
- Cfo
- Phone
- (302) 428-2522
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 21
Practitioners 7
-
Linda Joanne Olivere, CFNP
-
Lindsay Bonnett, MD
-
Siri Marie Holton, M.D.
-
Robin A Horn, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080730000317 | PA | Part B Supplier - Clinic/Group Practice | 9739097569 |
Receives reassigned benefits from 198 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Grove, PA; Kennett Square, PA; Chadds Ford, PA |
National Provider Directory
- Part of
- Christiana Care Ambulance
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Clinical Psychologist |
103TC0700X | Yes | ||
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
161 Wilmington W Chester Pike
Christiana Care Concord Health Center
Chadds Ford, PA 19317-9041
Mailing address
200 Hygeia Dr
Ste 2300
Newark, DE 19713-2049
Other names
- CCHS Concord Psychiatry
Other providers in Chadds Ford, PA
- Chiropractic Associates of PA
- CHN Homecare LLC
- Christiana Care Health Initiatives
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
All providers in Chadds Ford, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.