PSYCHOTHERAPEUTIC SERVICES INC – NPI #1417192584
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

PSYCHOTHERAPEUTIC SERVICES INC is an AHC clinic located in DOVER, DE. NPPES has assigned the NPI number 1417192584 to PSYCHOTHERAPEUTIC SERVICES INC on December 03, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PSYCHOTHERAPEUTIC SERVICES INC below.

NPI Profile for
PSYCHOTHERAPEUTIC SERVICES INC

NPI Number
1417192584
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PSYCHOTHERAPEUTIC SERVICES INC
Primary location
630 W. DIVISION ST
SUITE F
DOVER, DE 19904
Phone: (302) 672-7159 Fax: (302) 672-7178
Mailing address
870-2 HIGH STREET
CHESTERTOWN, MD 21620
Phone: (410) 778-9114 Fax: (410) 778-7988
Organization Subpart
Yes - PSYCHOTHERAPEUTIC SERVICES INC is subpart of another organization.
Authorized Official
RANDALL COOPER
CFO
Phone: (410) 778-9114
Updated
Identifiers

Identifiers for PSYCHOTHERAPEUTIC SERVICES INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE0000520561
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
DE 106301

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.