NPIMap

Organization Active NPI

Psychological Associates of Southern Delaware

  • Clinical Psychologist
  • Laurel, DE
National Provider Identifier
1942527528
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1 0000440 Issued in DE
Legal business name
PSYCHOLOGICAL ASSOCIATES OF SOUTHERN DELAWARE
Practice address
11023 Joe Warrington Dr
Laurel, DE 19956-4576
Phone
(302) 280-6256
Fax
(302) 280-6272
NPI assigned
Apr 22, 2010
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Dr. Kerri J Kennard, PH.D.
Title
Psychologist
Phone
(302) 280-6256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X B1 0000440 DE Primary

Addresses

Primary practice location

11023 Joe Warrington Dr
Laurel, DE 19956-4576

Mailing address

11023 Joe Warrington Dr
Laurel, DE 19956-4576
Phone (302) 280-6256

National Provider Directory

National Provider Directory

Locations

11023 Joe Warrington Dr
Laurel, DE 19956
Phone (302) 280-5256

Practitioners & affiliated clinicians

Practitioners 6

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": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1942527528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11023 JOE WARRINGTON DR",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199564576",
            "telephone_number": "302-280-6256",
            "fax_number": "302-280-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11023 JOE WARRINGTON DR",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199564576",
            "telephone_number": "302-280-6256",
            "fax_number": "302-280-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF SOUTHERN DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "KENNARD",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "302-280-6256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1 0000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.