NPIMap

Organization Active NPI

Psychotherapeutic Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dover, DE
National Provider Identifier
1124471115
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1180967 Issued in DE
Legal business name
PSYCHOTHERAPEUTIC SERVICES, INC.
Practice address
983 Forest St
Dover, DE 19904-3447
Phone
(302) 492-7400
Fax
(302) 736-6004
NPI assigned
Jul 14, 2016
Organization subpart
Yes
Parent organization
PSYCHOTHERAPEUTIC CHILDREN'S SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Mr. Randall Lewis Cooper
Title
Cfo
Phone
(410) 778-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1180967 DE Primary

Addresses

Primary practice location

983 Forest St
Dover, DE 19904-3447

Mailing address

983 Forest St
Dover, DE 19904-3447
Phone (302) 492-7400

Other names 1

  • Journey II 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 Services Inc

Other organizations with this tax ID 43

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

View all 43

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychotherapeuticservicesde/r4/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1124471115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 FOREST ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043447",
            "telephone_number": "302-492-7400",
            "fax_number": "302-736-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 FOREST ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043447",
            "telephone_number": "302-492-7400",
            "fax_number": "302-736-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOTHERAPEUTIC CHILDREN'S SERVICES INC",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-778-1099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DE",
            "license": "1180967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey II",
            "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 Jan 3, 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.