NPIMap

Organization Active NPI

Connections CSP Brandywine Street Women'S Residential Treatment Progra

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wilmington, DE
National Provider Identifier
1508225905
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CONNECTIONS CSP BRANDYWINE STREET WOMEN'S RESIDENTIAL TREATMENT PROGRA
Practice address
1120 Brandywine St
Wilmington, DE 19802-5219
Phone
(302) 250-5883
NPI assigned
Feb 15, 2016
Organization subpart
Yes
Parent organization
CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Catherine Devaney McKay
Title
President and Ceo
Phone
(302) 230-9103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X DE Primary

Addresses

Primary practice location

1120 Brandywine St
Wilmington, DE 19802-5219

Mailing address

3821 Lancaster Pike
Wilmington, DE 19805-1512
Phone (302) 442-6622

Other names 1

  • Connections Brandywine Street Women's Residential Treatment Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connections CSP Inc35 organizations share this tax ID, including this one
Part of
Connections CSP Inc

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1508225905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051512",
            "telephone_number": "302-442-6622",
            "fax_number": "302-984-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BRANDYWINE ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198025219",
            "telephone_number": "302-250-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS CSP BRANDYWINE STREET WOMEN'S RESIDENTIAL TREATMENT PROGRA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.",
        "enumeration_date": "2016-02-15",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "DEVANEY MCKAY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "302-230-9103"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connections Brandywine Street Women's Residential Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.