Organization Active NPI

Carebridge Health Systems Inc.

  • Intellectual & Developmental Disabilities Psychologist
  • Middletown, DE
National Provider Identifier
1619703337
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
CAREBRIDGE HEALTH SYSTEMS INC.
Practice address
157 Shannon Blvd
Middletown, DE 19709-2191
Phone
(302) 747-0150
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Mr. Gershom Soire
Title
Owner
Phone
(302) 747-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

157 Shannon Blvd
Middletown, DE 19709-2191

Mailing address

157 Shannon Blvd
Middletown, DE 19709-2191
Phone (302) 747-0150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1619703337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SHANNON BLVD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092191",
            "telephone_number": "302-747-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SHANNON BLVD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092191",
            "telephone_number": "302-747-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE HEALTH SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "SOIRE",
        "authorized_official_first_name": "GERSHOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-747-0150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.