Psychotherapeutic Community Services, Inc

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

103TP2701X Issued in DE

Legal business name

PSYCHOTHERAPEUTIC COMMUNITY SERVICES, INC

Practice address

630 W Division St
Suite F
Dover, DE 19904-2760

Phone

(302) 674-3366

Fax

(302) 674-3360

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randall Cooper, C.P.A

Title

Chief Financial Officer

Phone

(410) 778-9114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Stanchi, M.D.

  • Psychiatry Physician
  • Dover, DE
  • NPI 1093733685
  NPD (past)
• Ralph Wolf, D.O.

  • Forensic Psychiatry Physician
  • Dover, DE
  • NPI 1396764932
  NPD (past)
• Criselda C Abad-Santos, M.D.

  • Psychiatry Physician
  • Woodland Hills, CA
  • NPI 1760461826
  NPD (past)
• Paul August Gianakon, M.D.

  • Psychiatry Physician
  • Elkton, MD
  • NPI 1578698486
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427083583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "address_2": "SUITE I",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216200690",
            "telephone_number": "410-778-9114",
            "fax_number": "410-778-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W DIVISION ST",
            "address_2": "SUITE F",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042760",
            "telephone_number": "302-674-3366",
            "fax_number": "302-674-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-778-9114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "DE",
            "license": "103TP2701X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000930161",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prosperous Pathways Counseling and Wellness Services
• Psi Acist Program
• Psychiatric Access for Central Delaware, P.a.
• Psychiatric Wellness Center, Inc
• Psychotherapeutic Children'S Services
• Psychotherapeutic Services Inc
• Psychotherapeutic Services Inc
• Psychotherapeutic Services Inc
• Psychotherapeutic Services Inc
• Psychotherapeutic Services Inc

• Group Psychotherapy Psychologist in Dover, DE
• Providers in Dover, DE by specialty
• Group Psychotherapy Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.