Organization Active NPI

Branch Behavioral Health LLC

  • Group Psychotherapy Psychologist
  • Wilmington, DE
National Provider Identifier
1932856689
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Authorized official

Name
Carey Manza, LCSWNPI 1235465998
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20220627003603 DE Part B Supplier - Clinic/Group Practice 9436538030 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.