NPIMap

Organization Active NPI

McCormick & Associates of Middletown, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Middletown, DE
National Provider Identifier
1316235385
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
0000176 Issued in DE
Legal business name
MCCORMICK & ASSOCIATES OF MIDDLETOWN, LLC
Practice address
292 Carter Dr
Suite B
Middletown, DE 19709-5846
Phone
(302) 449-0710
Fax
(302) 449-1770
NPI assigned
Jul 12, 2011
Last updated
Nov 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Mrs. Caren Coffy-McCormick, APRNNPI 1043461627
Title
Owner
Phone
(302) 449-0710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 0000176 DE Primary

Addresses

Primary practice location

292 Carter Dr
Suite B
Middletown, DE 19709-5846

Mailing address

5350 Summit Bridge Rd
Suite 107
Middletown, DE 19709-5846
Phone (302) 449-0710

Other practice location 1

260 Chapman Road
Suite 100E
Newark, DE 19702
Phone (302) 449-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000136 DE Part B Supplier - Clinic/Group Practice 5294905162 Receives reassigned benefits from 3 practitioners
Practice locations: Middletown, DE

National Provider Directory

National Provider Directory

Locations

292 Carter Dr
Ste B
Middletown, DE 19709
Phone (302) 376-6144

5350 Summit Bridge Rd
Ste 103
Middletown, DE 19709
Phone (302) 449-0710

5350 Summit Bridge Rd
Ste 107
Middletown, DE 19709
Phone (302) 376-9111

260 Chapman Rd
Ste 100E
Newark, DE 19702
Phone (302) 731-1558

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1316235385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SUMMIT BRIDGE RD",
            "address_2": "SUITE 107",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095846",
            "telephone_number": "302-449-0710",
            "fax_number": "302-449-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 CARTER DR",
            "address_2": "SUITE B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095846",
            "telephone_number": "302-449-0710",
            "fax_number": "302-449-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Chapman Road",
            "address_2": "Suite 100E",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "19702",
            "country_code": "US",
            "telephone_number": "302-449-0710",
            "fax_number": "302-449-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCCORMICK & ASSOCIATES OF MIDDLETOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "COFFY-MCCORMICK",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-449-0710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "DE",
            "license": "0000176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.