Active NPI
Gerald Thomas Mehalick, D.O.
- Psychiatry Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C2-0005837
- Practice address
- 500 West 10TH St
Connections Community Support Programs, Inc.
Wilmington, DE 19801 - Phone
- (302) 328-3330
- Fax
- (302) 328-9336
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | C2-0005837 | DE | |
| Psychiatry Physician | 2084P0800X | C2-0005837 | DE | Primary |
Addresses
Primary practice location
500 West 10TH St
Connections Community Support Programs, Inc.
Wilmington, DE 19801
Mailing address
500 West 10TH St
Connections Community Support Programs, Inc.
Wilmington, DE 19801
Phone (610) 544-5485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2-0005837 | Other | DE | PROFESSIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0005837 | DE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Psychiatry | Past | Accepting new patients |
Locations
1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
Interoperability endpoints
- gmehalick2016032@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Psychiatry Physician
- Darby, PA
- NPI 1528584810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689791097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WEST 10TH ST",
"address_2": "CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19801",
"telephone_number": "610-544-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WEST 10TH ST",
"address_2": "CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19801",
"telephone_number": "302-328-3330",
"fax_number": "302-328-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHALICK",
"first_name": "GERALD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "DE",
"license": "C2-0005837",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C2-0005837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "C2-0005837",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.