NPIMap

Organization Active NPI

Delaware Psychological Services LLC

  • Mental Health Counselor
  • Lewes, DE
National Provider Identifier
1659791440
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC 0000534 Issued in DE
Legal business name
DELAWARE PSYCHOLOGICAL SERVICES LLC
Practice address
17021 Old Orchard Rd
Suite 4
Lewes, DE 19958-4832
Phone
(609) 517-1529
NPI assigned
Apr 21, 2014
Last updated
Apr 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Katherine Knowele Elder, PHDNPI 1316244700
Title
Co-Owner
Phone
(609) 517-1529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CD 0000020 DE
Mental Health Counselor 101YM0800X PC 0000534 DE Primary

Addresses

Primary practice location

17021 Old Orchard Rd
Suite 4
Lewes, DE 19958-4832

Mailing address

27387 Walking Run
Milton, DE 19968-3086
Phone (609) 517-1529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514001865 DE Part B Supplier - Clinic/Group Practice 8325566391 Receives reassigned benefits from 8 practitioners
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory
Tax ID family
Delaware Psychological Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

262 Chapman Rd
Ste 100
Newark, DE 19702
Phone (302) 292-0888

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1659791440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27387 WALKING RUN",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683086",
            "telephone_number": "609-517-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 OLD ORCHARD RD",
            "address_2": "SUITE 4",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584832",
            "telephone_number": "609-517-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "KNOWELE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "609-517-1529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "CD 0000020",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC 0000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.