NPIMap

Organization Active NPI

Psi Acist Program

  • Community/Behavioral Health Agency
  • Dover, DE
National Provider Identifier
1366999310
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1990037507 Issued in DE
Legal business name
PSI ACIST PROGRAM
Practice address
983 Forest St
Dover, DE 19904-3447
Phone
(302) 480-9590
Fax
(302) 480-9591
NPI assigned
Sep 7, 2016
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PSYCHOTHERAPEUTIC SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Marcia Lynn Clendaniel
Title
Billing Manager
Phone
(410) 810-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1990037507 DE Primary

Addresses

Primary practice location

983 Forest St
Dover, DE 19904-3447

Mailing address

983 Forest St
Dover, DE 19904-3447
Phone (302) 480-9590

National Provider Directory

National Provider Directory
Tax ID family
Psychotherpeutic Services Inc44 organizations share this tax ID, including this one
Part of
Psychotherpeutic Services Inc

Other organizations with this tax ID 43

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

View all 43

Locations

983 Forest St
Dover, DE 19904
Phone (302) 480-9590

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1366999310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 FOREST ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043447",
            "telephone_number": "302-480-9590",
            "fax_number": "302-480-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 FOREST ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043447",
            "telephone_number": "302-480-9590",
            "fax_number": "302-480-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI ACIST PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOTHERAPEUTIC SERVICES INC",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "CLENDANIEL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-810-2465"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "1990037507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 2, 2017; 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.