NPIMap

Organization Active NPI

Lifestream Behavioral Health

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1578147971
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFESTREAM BEHAVIORAL HEALTH
Doing business as
Lifestream Behavioral Health
Practice address
1201 Philadelphia Pike
Wilmington, DE 19809-2042
Phone
(302) 798-4400
Fax
(302) 798-3002
NPI assigned
May 11, 2021
Organization subpart
Yes
Parent organization
LIFESTREAM BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Matthew J McIlrath, DC
Title
Owner
Phone
(023) 798-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1201 Philadelphia Pike
Wilmington, DE 19809-2042

Mailing address

1201 Philadelphia Pike
Wilmington, DE 19809-2042
Phone (302) 798-4400

Other names 1

  • LIFESTREAM BEHAVIORAL HEALTH Doing business as

National Provider Directory

National Provider Directory
Part of
Lifestream Behavioral Health

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1578147971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092042",
            "telephone_number": "302-798-4400",
            "fax_number": "302-798-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092042",
            "telephone_number": "302-798-4400",
            "fax_number": "302-798-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESTREAM BEHAVIORAL HEALTH",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "MCILRATH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "023-798-7033",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESTREAM BEHAVIORAL HEALTH",
            "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 May 11, 2021; 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.