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Organization Active NPI

Diamond State Youth, Inc.

Doing business as Diamond State Youth Behavioral Health System

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wilmington, DE
National Provider Identifier
1326186347
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
29182 Issued in DE
Legal business name
DIAMOND STATE YOUTH, INC.
Doing business as
Diamond State Youth Behavioral Health System
Practice address
1413 Lore Avenue
Wilmington, DE 19809
Phone
(302) 762-6360
Fax
(302) 762-6362
NPI assigned
Feb 2, 2007
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Mr. Ruth E. Sargeant, MS
Title
Executive Director
Phone
(302) 762-6360

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 29182 DE
Mental Illness Community Based Residential Treatment Facility 320800000X 29182 DE
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 29182 DE Primary

Addresses

Primary practice location

1413 Lore Avenue
Wilmington, DE 19809

Mailing address

1413 Lore Avenue
Wilmington, DE 19809
Phone (302) 762-6360

Other names 1

  • Diamond State Youth Behavioral Health System Doing business as

National Provider Directory

National Provider Directory

Locations

1413 Lore Ave
Wilmington, DE 19809
Phone (302) 762-6360

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1326186347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 LORE AVENUE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19809",
            "telephone_number": "302-762-6360",
            "fax_number": "302-762-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 LORE AVENUE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19809",
            "telephone_number": "302-762-6360",
            "fax_number": "302-762-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND STATE YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SARGEANT",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-762-6360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DE",
            "license": "29182",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "DE",
            "license": "29182",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "DE",
            "license": "29182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond State Youth Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.