Active NPI
Meditelecare of Delaware LLC
- Clinical Psychologist
- Wilmington, DE
National Provider Identifier
1992431076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MEDITELECARE OF DELAWARE LLC
- Practice address
- 251 Little Falls Dr
Wilmington, DE 19808-1674 - Phone
- (860) 788-6404
- NPI assigned
- Jul 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Trojanowski
- Title
- Director of Revenue Cycle
- Phone
- (860) 788-6404
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
251 Little Falls Dr
Wilmington, DE 19808-1674
Mailing address
PO Box 1595
Middletown, CT 06457-8095
Phone (860) 788-6404
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659052800000",
"number": "1992431076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064578095",
"telephone_number": "860-788-6404",
"fax_number": "860-829-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LITTLE FALLS DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081674",
"telephone_number": "860-788-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDITELECARE OF DELAWARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A",
"authorized_official_last_name": "TROJANOWSKI",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "860-788-6404"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.