NPIMap

Organization Active NPI

MBS Psychotherapy Services, LLC

  • Clinical Social Worker
  • Bear, DE
National Provider Identifier
1750831855
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001361 Issued in DE
Legal business name
MBS PSYCHOTHERAPY SERVICES, LLC
Practice address
3661 Wrangle Hill Road
Bear, DE 19701-1906
Phone
(302) 444-4798
Fax
(302) 444-4727
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Monique Byers Schaffstall, LCSWNPI 1679809289
Title
Practice Owner
Phone
(302) 668-5478

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Q1-0001361 DE Primary

Addresses

Primary practice location

3661 Wrangle Hill Road
Bear, DE 19701-1906

Mailing address

3661 Wrangle Hill Road
Bear, DE 19701-1906
Phone (302) 444-4798

Other names 1

  • Monique Byers Schaffstall Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161222001246 DE Part B Supplier - Clinic/Group Practice 8224319611 Receives reassigned benefits from 3 practitioners
Practice locations: Bear, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1750831855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 WRANGLE HILL ROAD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011906",
            "telephone_number": "302-444-4798",
            "fax_number": "302-444-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 WRANGLE HILL ROAD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011906",
            "telephone_number": "302-444-4798",
            "fax_number": "302-444-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BYERS SCHAFFSTALL",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "302-668-5478",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monique Byers Schaffstall",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Monique Byers Schaffstall",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.