Active NPI
State of Delaware
- Health Service Psychologist
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Legal business name
- STATE OF DELAWARE
- Practice address
- 417 Federal St
Dover, DE 19901-3635 - Phone
- (302) 744-4548
- Fax
- (302) 739-1613
- NPI assigned
- Nov 15, 2006
- Last updated
- Dec 1, 2011
- 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
- Karyl Rattay, MD
- Title
- Director
- Phone
- (302) 744-4700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | NU | Primary |
Addresses
Primary practice location
417 Federal St
Dover, DE 19901-3635
Mailing address
417 Federal St
Dover, DE 19901-3635
Phone (302) 744-4548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000301057 | Medicaid | DE |
Other names 1
- Case Management-North
National Provider Directory
National Provider Directory- Tax ID family
- Psychiatry Delaware Sta
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Sussex Bridge Clinic
- Substance Use Disorder Rehabilitation Clinic/Center
- Georgetown, DE
- NPI 1285345306
-
- Local Education Agency (LEA)
- Wilmington, DE
- NPI 1295126407
-
- Local Education Agency (LEA)
- Wilmington, DE
- NPI 1275965832
-
- Substance Abuse Rehabilitation Facility
- Ellendale, DE
- NPI 1184738601
-
- Local Education Agency (LEA)
- Newark, DE
- NPI 1174955736
-
- Student Health Clinic/Center
- Dover, DE
- NPI 1114087921
-
- State or Local Public Health Clinic/Center
- Dover, DE
- NPI 1124194014
-
- Student Health Clinic/Center
- Dover, DE
- NPI 1124196530
-
- State or Local Public Health Clinic/Center
- Dover, DE
- NPI 1134208390
-
- Student Health Clinic/Center
- Dover, DE
- NPI 1174691588
-
dba Marion T. Academy Charter School
- Local Education Agency (LEA)
- Wilmington, DE
- NPI 1194869065
Locations
417 Federal St
Dover, DE 19901
Phone (302) 744-4548
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Dover, DE
- NPI 1124216585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322697600000",
"number": "1215009097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 FEDERAL ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013635",
"telephone_number": "302-744-4548",
"fax_number": "302-739-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 FEDERAL ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013635",
"telephone_number": "302-744-4548",
"fax_number": "302-739-1613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF DELAWARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2011-12-01",
"status": "A",
"authorized_official_last_name": "RATTAY",
"authorized_official_first_name": "KARYL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "302-744-4700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000301057",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Case Management-North",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.