Comprehensive Neurology Center of Delaware

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

C1-0004626 Issued in DE

Legal business name

COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE

Practice address

1423 Capitol TRL Ste 1114
Newark, DE 19711-5709

Phone

(302) 996-9010

Fax

(302) 996-9027

NPI assigned

Jun 22, 2007

Organization subpart

No

Locations

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

Authorized official

Name

Dr. Carl R Yacoub, M.D.

Title

Director

Phone

(302) 996-5457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CNCD Doing business as

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1639375009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1114",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-996-9010",
            "fax_number": "302-996-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1114",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-996-9010",
            "fax_number": "302-996-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-996-5457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "DE",
            "license": "C1-0004626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001164401",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNCD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CNCD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Companion Hearts, LLC
• Compassionate Angels
• Compassionate Care Hospice of Delaware, LLC
• Complete Care Medical Supply LLC
• Complete Sleep Lab Inc
• Comprehensive Neurology, P.a.
• Comprehensive Spine and Pain Management
• Comprehensive Spine and Pain Management, LLC
• Michele R. Compton, PA-C
• Caroline Conard, NP

• All providers in Newark, DE
• Neurology with Special Qualifications in Child Neurology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.