Organization Active NPI

Bancroft Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1992017479
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000104 Issued in DE
Legal business name
BANCROFT BEHAVIORAL HEALTH
Practice address
1423 Capitol Trail Drummond Plaza Office Park
Building 1, Suite 1107
Newark, DE 19711
Phone
(302) 502-3255
Fax
(302) 502-3257
NPI assigned
Jul 13, 2010
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Mr. Bradley Stanford Why, PMHNP-BCNPI 1871821322
Title
Psychiatric/Mental Health Nurse Pra
Phone
(302) 502-3255

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X L8-0000104 DE Primary

Addresses

Primary practice location

1423 Capitol Trail Drummond Plaza Office Park
Building 1, Suite 1107
Newark, DE 19711

Mailing address

1423 Capitol Trail Drummond Plaza Office Park
Building 1, Suite 1107
Newark, DE 19711
Phone (302) 502-3255

National Provider Directory

National Provider Directory

Locations

1423 Capitol Trl
Ofc Park
Newark, DE 19711
Phone (302) 502-3255

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": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1992017479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK",
            "address_2": "BUILDING 1, SUITE 1107",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-502-3255",
            "fax_number": "302-502-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK",
            "address_2": "BUILDING 1, SUITE 1107",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-502-3255",
            "fax_number": "302-502-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "WHY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "STANFORD",
        "authorized_official_title_or_position": "PSYCHIATRIC/MENTAL HEALTH NURSE PRA",
        "authorized_official_telephone_number": "302-502-3255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.