NPIMap

Organization Active NPI

State of Delaware Dscyf

  • Adolescent and Children Mental Health Clinic/Center
  • Middletown, DE
National Provider Identifier
1699852749
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
STATE EXEMPT Issued in DE
Legal business name
STATE OF DELAWARE DSCYF
Practice address
495 E Main St
Middletown, DE 19709-1463
Phone
(302) 378-5238
NPI assigned
Nov 1, 2006
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Josette Manning, ESQ.
Title
Cabinet Secretary
Phone
(302) 633-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X STATE EXEMPT DE Primary

Addresses

Primary practice location

495 E Main St
Middletown, DE 19709-1463

Mailing address

495 E Main St
Middletown, DE 19709-1463
Phone (302) 378-5238

Other identifiers 1

IdentifierTypeStateIssuer
0000587967MedicaidDE

Other names 1

  • Silver Lake Day Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Delaware Sta131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

495 E Main St
Middletown, DE 19709
Phone (302) 377-5874

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1699852749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091463",
            "telephone_number": "302-378-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091463",
            "telephone_number": "302-378-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE DSCYF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "CABINET SECRETARY",
        "authorized_official_telephone_number": "302-633-2500",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "DE",
            "license": "STATE EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000587967",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Lake Day Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.