Priscilla Putnam, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

B10000472 Issued in DE

Legal business name

PRISCILLA PUTNAM, PH.D., LLC

Practice address

168 S. Main St.
Suite 208
Newark, DE 19711-7933

Phone

(302) 454-8010

Fax

(302) 454-8026

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Priscilla Putnam, PH.D.

Title

Manager

Phone

(302) 454-8010

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Russo, PH D

  • Psychologist
  • Newark, DE
  • NPI 1073529905
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1134323322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 S. MAIN ST.",
            "address_2": "SUITE 208",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117933",
            "telephone_number": "302-454-8010",
            "fax_number": "302-454-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S. MAIN ST.",
            "address_2": "SUITE 208",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117933",
            "telephone_number": "302-454-8010",
            "fax_number": "302-454-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA PUTNAM, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-454-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B10000472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MED",
            "identifier": "DF6995",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Price, PA-C
• Kiersten Priest, MSW
• Christopher Charles Prieto, D.O.
• Meagan Prime, APRN
• Primecare Comprehensive Health, LLC
• Dawn Michelle Pritchard, CNM
• Professional Technicians Incorporated
• Proficient Mind and Wellness Clinic LLC
• Progressive Dental Arts
• Kathryn Provonche, PA

• Clinical Psychologist in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.