Oasis of Delaware LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

OASIS OF DELAWARE LLC

Practice address

59 Browning Cir
Middletown, DE 19709-1662

Phone

(302) 373-1774

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Addison

Title

Assistant Ceo

Phone

(302) 373-1774

Specialties & licenses 3

Addresses

Other names 1

• Oasis Of Delaware LLC Doing business as

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1972280931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BROWNING CIR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091662",
            "telephone_number": "302-373-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BROWNING CIR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091662",
            "telephone_number": "302-373-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS OF DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSISTANT CEO",
        "authorized_official_telephone_number": "302-373-1774"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Of Delaware LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual & Developmental Disabilities Psychologist in Middletown, DE
• Providers in Middletown, DE by specialty
• Intellectual & Developmental Disabilities Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.