Psychiatric Wellness Center, Inc

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PSYCHIATRIC WELLNESS CENTER, INC

Practice address

1274 S Governors Ave
Dover, DE 19904-4802

Phone

(302) 678-1086

Fax

(302) 678-1087

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Barbara A Reynolds

Title

Office Manager

Phone

(302) 678-1086

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gail M Clark, LPCMH

  • Professional Counselor
  • Dover, DE
  • NPI 1497895460
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235266859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044802",
            "telephone_number": "302-678-1086",
            "fax_number": "302-678-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044802",
            "telephone_number": "302-678-1086",
            "fax_number": "302-678-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-678-1086"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000041665",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Medical Health Services PA
• Professional Service Group LLC
• Prosperous Pathways Counseling and Wellness Services
• Psi Acist Program
• Psychiatric Access for Central Delaware, P.a.
• Psychotherapeutic Children's Services
• Psychotherapeutic Community Services, Inc
• Psychotherapeutic Services Inc
• Psychotherapeutic Services Inc (Adult and Community CBHOT)
• Psychotherapeutic Services Inc

• Group Psychotherapy Psychologist in Dover, DE
• Providers in Dover, DE by specialty
• Group Psychotherapy Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.