Active NPI
Carebridge Health Systems Inc.
- Intellectual & Developmental Disabilities Psychologist
- Middletown, DE
National Provider Identifier
1619703337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 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 DirectoryNPI 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.