Priscilla H Putnam, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

B1-0000472 Issued in DE

Practice address

168 S. Main St.
Suite 208
Newark, DE 19711-7962

Phone

(302) 454-8010

Fax

(302) 454-8026

NPI assigned

Sep 23, 2006

Last updated

Apr 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Priscilla Putnam, PH.D., LLC

  • Clinical Psychologist
  • Newark, DE
  • NPI 1134323322
  Authorized official Same address or phone
• Sharon E. Cooper, LCSW, LLC

  • Clinical Social Worker
  • Newark, DE
  • NPI 1548464985
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1497855175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 S. MAIN ST.",
            "address_2": "SUITE 208",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113841",
            "telephone_number": "302-454-8010",
            "fax_number": "302-454-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S. MAIN ST.",
            "address_2": "SUITE 208",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117962",
            "telephone_number": "302-454-8010",
            "fax_number": "302-454-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "PRISCILLA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MED",
            "identifier": "DF6995",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pure Insight Wellness LLC
• Pure Wellness, LLC
• Shruti Puri, MD
• Pravish Purmessur, MD
• Michael J Pushkarewicz, MD
• Anthony Putter, RN
• Dagmara M Pychynski, M.D.
• Pyramid Educational Consultants, Inc
• Rabia Qazi, MD
• QPS, LLC

• Clinical Psychologist in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.