Yvette McCullough, FAMILY SERVICES CASE
Individual provider Active NPI Behavioral Neurology & Neuropsychiatry Physician · Bridgeville, DE
NPI 1073312682 · NPPES record last updated Mar 8, 2025
Key facts
- NPI
- 1073312682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician 2084B0040X
- License
- 27S2XJ (DE)
- Practice address
- 125 Champions Dr
Bridgeville, DE 19933-2438 - Phone
- (302) 390-0477
- NPI assigned
- Mar 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27S2XJ | DE | MD | Behavioral Neurology & Neuropsychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician |
2084B0040X | 27S2XJ | DE | Yes |
Addresses
Primary practice location
125 Champions Dr
Bridgeville, DE 19933-2438
Mailing address
125 Champions Drive
PO Box 51
Bridgeville, DE 19933-2438
Phone (443) 206-5501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UZQ4-5GVVXS | Other | DE | 27S2XJ |
Other providers in Bridgeville, DE
- Sandy L Humphreys
- Glena Huskey
- Internal Medicine of Bridgeville
- Kenneth R Smith MD
- Dawn Lord
- Elizabeth Anne Meade
- Jesse Miller
- Christina Marie Mohammed
- Brittany Nunes
- Sandra Mariela Palavecino
All providers in Bridgeville, DE · Behavioral Neurology & Neuropsychiatry Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.