Yms Mental Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

YMS MENTAL HEALTH SERVICES

Practice address

230 Mitchell St Ste B
Millsboro, DE 19966-9402

Phone

(484) 828-1771

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Jenna Blackwell, PMHNPNPI 1336570324

Title

Owner

Phone

(302) 591-9179

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 3

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

• Jenna Blackwell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Millsboro, DE
  • NPI 1336570324
  Medicare reassignment Authorized official
• Kareema Abdussalaam, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1881305688

  DE

  Medicare reassignment NPD
• Tasmiyah Blackwell

  • Psychiatric/Mental Health Nurse Practitioner
  • Millsboro, DE
  • NPI 1790629368
  Medicare reassignment

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1437849049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MITCHELL ST STE B",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199669402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MITCHELL ST STE B",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199669402",
            "telephone_number": "484-828-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12046 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "DE",
            "postal_code": "199504867",
            "country_code": "US",
            "telephone_number": "302-591-9179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 Newport Gap Pike",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198086179",
            "country_code": "US",
            "telephone_number": "302-591-9179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 N Union St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053454",
            "country_code": "US",
            "telephone_number": "302-591-9179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Kimmey St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199471259",
            "country_code": "US",
            "telephone_number": "302-591-9179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YMS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-591-9179",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Wright-Stasi, R.N.
• Brandi Wright
• Terrence Wright
• Amanda Wyatt, RD
• Jean Ann M Yaccino, D.O.
• Ayman Yousef
• Bridget Monica Zambito, PHARMD
• Cheryl Lyn Zdana, FNP-BC
• Joseph Zimmerman, PTA

• Psychiatric/Mental Health Nurse Practitioner in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.