Organization Active NPI

Peach Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Camden Wyoming, DE
National Provider Identifier
1912734575
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACH MENTAL HEALTH SERVICES LLC
Practice address
34 Spring Way
Camden Wyoming, DE 19934-4224
Phone
(302) 257-9420
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Edith StanfordNPI 1144978255
Title
Owner
Phone
(302) 257-9720

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

34 Spring Way
Camden Wyoming, DE 19934-4224

Mailing address

34 Spring Way
Camden Wyoming, DE 19934-4224
Phone (302) 257-9420

Other identifiers 1

IdentifierTypeStateIssuer
250695513MedicaidDE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1912734575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SPRING WAY",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199344224",
            "telephone_number": "302-257-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SPRING WAY",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199344224",
            "telephone_number": "302-257-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-257-9720"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250695513",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden Wyoming, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.