Nicholas Joseph Gorman-Zolochik, RN, PMHNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Middletown, DE
NPI 1609655604 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1609655604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- L8-0010865 (DE)
- Practice address
- 735 Mapleton Ave Ste 200
Middletown, DE 19709-1560 - Phone
- (302) 224-1400
- NPI assigned
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mid-Atlantic Behavioral Health, LLC
Practice addresses (Care Compare)
735 Mapleton Ave
Suite 200
Middletown, DE 19709-1560
Phone (302) 224-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250805001093 | DE | Practitioner - Nurse Practitioner | 8123536711 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8-0010865 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Behavioral Health, LLC | Current |
Accepting new patients |
Locations
650 Naamans Rd
Ste 110
Claymont, DE 19703
Phone (302) 217-3884
735 Mapleton Ave
Ste 200
Middletown, DE 19709
Phone (302) 563-8713
910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614
Interoperability endpoints
- lifestancehealth.nicholasgormanzolochik@148542.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010865 | DE | Yes |
Addresses
Primary practice location
735 Mapleton Ave Ste 200
Middletown, DE 19709-1560
Mailing address
735 Mapleton Ave Ste 200
Middletown, DE 19709-1560
Phone (302) 224-1400
Other practice location 1
650 Naamans Rd Ste 110
Claymont, DE 19703-2301
Phone (302) 224-1400
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All providers in Middletown, DE · Psychiatric/Mental Health Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.