Active NPI
Taylormade Behavioral Health Solutions
- Clinical Social Worker
- Dover, DE
National Provider Identifier
1811618499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TAYLORMADE BEHAVIORAL HEALTH SOLUTIONS
- Practice address
- 86 Peyton St
Dover, DE 19901-5297 - Phone
- (484) 840-3354
- NPI assigned
- Sep 12, 2022
- Last updated
- Sep 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Brown
- Title
- Billing Specialist
- Phone
- (667) 678-4050
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Marriage & Family Therapist | 106H00000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
86 Peyton St
Dover, DE 19901-5297
Mailing address
86 Peyton St
Dover, DE 19901-5297
Phone (484) 840-3354
National Provider Directory
National Provider DirectoryPractitioners & 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": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1811618499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 PEYTON ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199015297",
"telephone_number": "484-840-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 PEYTON ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199015297",
"telephone_number": "484-840-3354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLORMADE BEHAVIORAL HEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-11",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "667-678-4050"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.