Individual provider Active NPI

Brenda Jones, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1366723579
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L80010523 Issued in DE
Practice address
100 W Commons Blvd Ste 301
New Castle, DE 19720-2419
Phone
(302) 224-1400
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X L80010523 DE
Registered Nurse 163W00000X L10072744 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L80010523 DE Primary

Addresses

Primary practice location

100 W Commons Blvd Ste 301
New Castle, DE 19720-2419

Mailing address

100 W Commons Blvd Ste 301
New Castle, DE 19720-2419
Phone (302) 224-1400

Other names 1

  • Brenda Delores Whitaker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160324001646 NY Practitioner - Nurse Practitioner 6901032820 Reassigns benefits to 1 organization
I20190729002936 NJ Practitioner - Nurse Practitioner 6901032820 Reassigns benefits to 1 organization
I20240607003010 DE Practitioner - Nurse Practitioner 6901032820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

100 W Commons Blvd
Suite 301
New Castle, DE 19720-2419
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L80010523DEMDCounseling Psychologist
L10072744DEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Jun 10, 2024 Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince May 25, 2019 Accepting new patients
CPC Integrated Health, Inc. CurrentSince May 25, 2019 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

100 W Commons Blvd
Ste 301
New Castle, DE 19720
Phone (302) 428-0205

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

1088 State Route 34
Matawan, NJ 07747
Phone (732) 290-1700

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brendajones@148542.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1366723579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD STE 301",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202419",
            "telephone_number": "302-224-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD STE 301",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202419",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "L80010523",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L10072744",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L80010523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WHITAKER",
            "middle_name": "DELORES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.