Carol E Bouzoukis PHD

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CAROL E BOUZOUKIS PHD

Doing business as

Play Therapy Delaware

Practice address

4001 Kennett Pike
Suite 244
Greenville, DE 19807-2315

Phone

(302) 777-1110

NPI assigned

May 1, 2017

Last updated

May 1, 2017By 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

Dr. Carol Elaine Bouzoukis, PHDNPI 1588900997

Title

Sole Proproetor

Phone

(302) 777-1110

Specialties & licenses 1

Addresses

Other names 1

• Play Therapy Delaware Doing business as

Locations

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.

• Carol Elaine Bouzoukis, PHD

  • Art Therapist
  • Greenville, DE
  • NPI 1588900997
  NPD (past) Authorized official

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1225564966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KENNETT PIKE",
            "address_2": "SUITE 244",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072315",
            "telephone_number": "302-777-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KENNETT PIKE",
            "address_2": "SUITE 244",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072315",
            "telephone_number": "302-777-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL E BOUZOUKIS PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BOUZOUKIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "SOLE PROPROETOR",
        "authorized_official_telephone_number": "302-777-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Play Therapy Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian E Banbury, MD
• Lindsay Bonnett, MD
• Carol Elaine Bouzoukis, PHD
• Linda Ruth Brackin, MSS, LCSW
• Robin Denise Britton, FNP
• John J Chabalko, MD
• Christiana Care Health Services, Inc. (CCHS Wellness Ctr - AI Dupont HS)
• Christiana Care Quality Partners (ChristianaCare GoHealth Urgent Care)
• Lindsey M Davis, MD MPH
• Delaware Eye Associates PA

• Adolescent and Children Mental Health Clinic/Center in Greenville, DE
• Providers in Greenville, DE by specialty
• Adolescent and Children Mental Health Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.