Delmarva Community Services Inc

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

DELMARVA COMMUNITY SERVICES INC

Practice address

6210 Shiloh Church Hurlock Rd
Hurlock, MD 21613

Phone

(410) 943-1106

NPI assigned

Dec 13, 2006

Last updated

Mar 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Santo A Grande

Title

Ceo

Phone

(410) 221-1900

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1114088192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CAMBRIDGE BELTWAY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133679",
            "telephone_number": "410-221-1900",
            "fax_number": "410-221-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 SHILOH CHURCH HURLOCK RD",
            "city": "HURLOCK",
            "state": "MD",
            "postal_code": "21613",
            "telephone_number": "410-943-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "GRANDE",
        "authorized_official_first_name": "SANTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-221-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "10446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard James Davis, DDS
• Dorchester County Commissioners (Hurlock VFC)
• Dorchester County Health Department (Dorchester Co School-Based Wellness Program)
• Dorchester County Health Department
• Dorchester County Health Department - SBWC-MH - Hurlock
• Dorchester County Health Department - SBWC-MH - NDHS

• Intellectual & Developmental Disabilities Psychologist in Hurlock, MD
• Providers in Hurlock, MD by specialty
• Intellectual & Developmental Disabilities Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.