NPIMap

Organization Active NPI

Psychotherapeutic Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dover, DE
National Provider Identifier
1336963685
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PSYCHOTHERAPEUTIC SERVICES INC
Practice address
21 Saulsbury Rd
Dover, DE 19904-3444
Phone
(302) 737-1597
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Randall Cooper
Title
Cfo
Phone
(410) 810-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

21 Saulsbury Rd
Dover, DE 19904-3444

Mailing address

104 Spring Ave Unit 299
Chestertown, MD 21620-8512
Phone (410) 778-1933

Other names 1

  • Mikee's Place 1 Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychotherapeutic SVCS44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

104 Spring Ave
Unit 299
Chestertown, MD 21620

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1336963685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SPRING AVE UNIT 299",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216208512",
            "telephone_number": "410-778-1933",
            "fax_number": "410-778-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-737-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-810-2468"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mikee's Place 1 Group Home",
            "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 Nov 13, 2024; 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.