Active NPI
Branch Behavioral Health LLC
- Group Psychotherapy Psychologist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- BRANCH BEHAVIORAL HEALTH LLC
- Practice address
- 5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068 - Phone
- (302) 468-6414
- NPI assigned
- Mar 2, 2022
- Last updated
- May 28, 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
- Carey Manza, LCSW
- Title
- Owner
- Phone
- (302) 468-6414
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 |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | NU | Primary |
Addresses
Primary practice location
5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068
Mailing address
5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068
Phone (302) 468-6414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5205 W Woodmill Dr
Ste 33LL
Wilmington, DE 19808
Phone (302) 468-6414
Practitioners & 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.
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1235465998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653696000000",
"number": "1932856689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 W WOODMILL DR STE 33LL",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084068",
"telephone_number": "302-468-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 W WOODMILL DR STE 33LL",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084068",
"telephone_number": "302-468-6414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANCH BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A",
"authorized_official_last_name": "MANZA",
"authorized_official_first_name": "CAREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-468-6414",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 28, 2022; 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.