Organization Active NPI

Affiliates in Psychiatry, PA

  • Psychiatry Physician
  • Newark, DE
National Provider Identifier
1679792345
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0001670 Issued in DE
Legal business name
AFFILIATES IN PSYCHIATRY, PA
Practice address
260 Chapman Rd Ste 100C
Newark, DE 19702-5410
Phone
(302) 738-7040
Fax
(302) 738-7042
NPI assigned
Apr 24, 2007
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Praful C. Desai, M. D.NPI 1841383718
Title
President
Phone
(302) 738-7040

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C1-0001670 DE Primary

Addresses

Primary practice location

260 Chapman Rd Ste 100C
Newark, DE 19702-5410

Mailing address

PO Box 5376
Wilmington, DE 19808-0376
Phone (302) 738-7040

Other identifiers 1

IdentifierTypeStateIssuer
0000157101MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000370 DE Part B Supplier - Clinic/Group Practice 3274794631 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations

260 Chapman Rd
Ste 100C
Newark, DE 19702
Phone (302) 292-3644

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1679792345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5376",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198080376",
            "telephone_number": "302-738-7040",
            "fax_number": "302-738-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD STE 100C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025410",
            "telephone_number": "302-738-7040",
            "fax_number": "302-738-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES IN PSYCHIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-738-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0001670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000157101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.