National Mentor Healthcare, LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

NATIONAL MENTOR HEALTHCARE, LLC

Practice address

28417 Dupont Highway
Millsboro, DE 19966-1209

Phone

(732) 627-9890

Fax

(732) 563-6780

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Phil Kaufman

Title

Ceo

Phone

(800) 388-5150

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Delaware Mentor Doing business as

Tax ID family

California Mentor336 organizations share this tax ID, including this one

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1588937486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MITCHELL ST STE A",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199669402",
            "telephone_number": "302-934-0512",
            "fax_number": "302-934-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28417 DUPONT HIGHWAY",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661209",
            "telephone_number": "732-627-9890",
            "fax_number": "732-563-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000123",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221000123",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250596940",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Mentor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Lynn Moore, RN
• Anita M Morgan, LMT
• Nicole Mulhern, OTR/L
• Shelley Murphy, LCSW
• Kunwal Nasrullah, MD
• Phuong Nguyen, RPH
• Joseph John Nichols III, MPT
• Shaunta L Nichols
• Erin Nielsen, PT
• Melissa Noah, PA-C

• Intellectual & Developmental Disabilities Psychologist in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Intellectual & Developmental Disabilities Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.