Active NPI
Port in the Storm LLC
- Community/Behavioral Health Agency
- Dover, DE
National Provider Identifier
1861630188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- Q1-0000296
- Legal business name
- PORT IN THE STORM LLC
- Practice address
- 600 W Division St
Dover, DE 19904-2702 - Phone
- (302) 735-7738
- Fax
- (302) 735-8560
- NPI assigned
- Jan 23, 2009
- 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
- Ms. Sandra A Dyer, LCSW
- Title
- Therapist
- Phone
- (302) 735-7738
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Q1-0000296 | DE | Primary |
Addresses
Primary practice location
600 W Division St
Dover, DE 19904-2702
Mailing address
600 W Division St
Dover, DE 19904-2702
Phone (302) 735-7738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000021573 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Port in the Storm
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Dover, DE
- NPI 1639548852
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Dover, DE
- NPI 1891702304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1861630188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W DIVISION ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199042702",
"telephone_number": "302-735-7738",
"fax_number": "302-735-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W DIVISION ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199042702",
"telephone_number": "302-735-7738",
"fax_number": "302-735-8560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT IN THE STORM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-23",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "DYER",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "302-735-7738",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "DE",
"license": "Q1-0000296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000021573",
"state": "DE"
}
],
"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 Aug 18, 2015; 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.