Organization Active NPI

Healing Adults & Adolescents Residential Treatment Program LLC

Doing business as Charlie's Place

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
National Provider Identifier
1780204297
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC
Doing business as
Charlie's Place
Practice address
100 Stroud St
Wilmington, DE 19805-4842
Phone
(302) 521-9898
NPI assigned
Apr 24, 2020
Last updated
Apr 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Authorized official

Name
Sheryl Ann Herbert, SCHOOL PSYCHOLOGIST
Title
Ceo/Chief Administrator
Phone
(302) 521-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 Stroud St
Wilmington, DE 19805-4842

Mailing address

100 Stroud St
Wilmington, DE 19805-4842
Phone (302) 521-9898

Other practice location 1

3560 Wrangle Hill Rd
Bear, DE 19701-1843
Phone (302) 836-4000

Other names 1

  • Charlie's Place Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sherbert@haartprogram.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Healing Adults Adolescents Residential Treatment Program LLC8 organizations share this tax ID, including this one
Part of
Healing Adults Adolescents Residential Treatment Program LLC

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587859200000",
    "number": "1780204297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STROUD ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054842",
            "telephone_number": "302-521-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STROUD ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054842",
            "telephone_number": "302-521-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Wrangle Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197011843",
            "country_code": "US",
            "telephone_number": "302-836-4000",
            "fax_number": "302-836-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "302-521-9898",
        "authorized_official_credential": "SCHOOL PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sherbert@haartprogram.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3560 Wrangle Hill Rd",
            "city": "Bear",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197011843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Charlie's Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charlie's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2020; 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.