Active NPI
Sea Care LLC
- Intellectual & Developmental Disabilities Psychologist
- Georgetown, DE
National Provider Identifier
1164008017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- SEA CARE LLC
- Practice address
- 25184 Leroy Dr
Georgetown, DE 19947-2783 - Phone
- (302) 381-5224
- NPI assigned
- Mar 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Beil
- Title
- Ceo
- Phone
- (302) 381-5224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
25184 Leroy Dr
Georgetown, DE 19947-2783
Mailing address
25184 Leroy Dr
Georgetown, DE 19947-2783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000677 | Medicaid | DE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2206748 | Sea Care, LLC | Certificate of waiver | Dec 21, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1164008017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25184 LEROY DR",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25184 LEROY DR",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472783",
"telephone_number": "302-381-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "BEIL",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "302-381-5224"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000677",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.