Community Systems, Inc.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

1243 Issued in DE

Legal business name

COMMUNITY SYSTEMS, INC.

Practice address

250 Corporate Blvd
Ste a
Newark, DE 19702-3329

Phone

(302) 368-2621

Fax

(302) 456-5733

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Paige

Title

Executive Director

Phone

(302) 368-2621

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Systems Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Systems, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield, VA
  • NPI 1225048457
  NPD tax ID

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992863583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CORPORATE BLVD",
            "address_2": "STE A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023329",
            "telephone_number": "302-368-2621",
            "fax_number": "302-456-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CORPORATE BLVD",
            "address_2": "STE A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023329",
            "telephone_number": "302-368-2621",
            "fax_number": "302-456-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-368-2621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "DE",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000259856",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Newark, DE
• Intellectual & Developmental Disabilities Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.