Organization Active NPI

Ieso Digital Health

  • Cognitive & Behavioral Psychologist
  • Wilmington, DE
National Provider Identifier
1962888412
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
IESO DIGITAL HEALTH
Practice address
2711 Centerville Rd
Suite 400
Wilmington, DE 19808-1660
Phone
(303) 386-7142
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Mr. Julian Coe
Title
Chief Operations/Financial Officer
Phone
(303) 386-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

2711 Centerville Rd
Suite 400
Wilmington, DE 19808-1660

Mailing address

2711 Centerville Rd
Suite 400
Wilmington, DE 19808-1660
Phone (303) 386-7142

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1962888412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 CENTERVILLE RD",
            "address_2": "SUITE 400",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081660",
            "telephone_number": "303-386-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 CENTERVILLE RD",
            "address_2": "SUITE 400",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081660",
            "telephone_number": "303-386-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IESO DIGITAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS/FINANCIAL OFFICER",
        "authorized_official_telephone_number": "303-386-7142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "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 Aug 7, 2015; 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.