Psychiatric Access for Central Delaware, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1989031835 Issued in DE

Legal business name

PSYCHIATRIC ACCESS FOR CENTRAL DELAWARE, P.A.

Practice address

846 Walker Rd
Ste. 32-2
Dover, DE 19904-2756

Phone

(302) 674-2265

Fax

(302) 674-3321

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark S. Borer, M.D.NPI 1033228077

Title

President

Phone

(302) 674-2265

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark S Borer, M.D.

  • Child & Adolescent Psychiatry Physician
  • Dover, DE
  • NPI 1033228077
  Medicare reassignment NPD Authorized official
• Carol S. Bugglin, PHD

  • Clinical Psychologist
  • Dover, DE
  • NPI 1437268380
  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629187646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 WALKER RD",
            "address_2": "STE. 32-2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042756",
            "telephone_number": "302-674-2265",
            "fax_number": "302-674-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 WALKER RD",
            "address_2": "STE. 32-2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042756",
            "telephone_number": "302-674-2265",
            "fax_number": "302-674-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ACCESS FOR CENTRAL DELAWARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-674-2265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DE",
            "license": "1989031835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-000006241",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Home Health Services, Inc
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• Professional Service Group LLC
• Prosperous Pathways Counseling and Wellness Services
• Psi Acist Program
• Psychiatric Wellness Center, Inc
• Psychotherapeutic Children'S Services
• Psychotherapeutic Community Services, Inc
• Psychotherapeutic Services Inc
• Psychotherapeutic Services Inc

• Medical Specialty Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Medical Specialty Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.