NPIMap

Organization Active NPI

Psychotherapeutic Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dover, DE
National Provider Identifier
1083164339
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PSYCHOTHERAPEUTIC SERVICES INC
Practice address
21 Saulsbury Road
Dover, DE 19904-2760
Phone
(302) 922-1208
Fax
(302) 672-7158
NPI assigned
Oct 11, 2016
Organization subpart
Yes
Parent organization
PSYCHOTHERAPEUTIC SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Marcia Lynn Clendaniel
Title
Billing Manager
Phone
(410) 810-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

21 Saulsbury Road
Dover, DE 19904-2760

Mailing address

21 Saulsbury Rd
Dover, DE 19904-3444
Phone (302) 922-1208

Other names 1

  • Adult and Community CBHOT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychotherapeutic SVCS44 organizations share this tax ID, including this one
Part of
Psychotherapeutic SVCS

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1083164339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-922-1208",
            "fax_number": "302-672-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SAULSBURY ROAD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042760",
            "telephone_number": "302-922-1208",
            "fax_number": "302-672-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOTHERAPEUTIC SERVICES INC",
        "enumeration_date": "2016-10-11",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "CLENDANIEL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-810-2465"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult and Community CBHOT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.