| Newark Behavioral Health | |
|
850 Library Ave Ste 104 Newark DE 19711-7170 | |
| (302) 724-6662 | |
| Not Available |
| Full Name | Newark Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 850 Library Ave Ste 104, Newark, Delaware |
| Authorized Official Name and Position | Debra M. Thompson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3027246662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Behavioral Health 850 Library Ave Ste 104 Newark DE 19711-7170 Ph: () - | Newark Behavioral Health 850 Library Ave Ste 104 Newark DE 19711-7170 Ph: (302) 724-6662 |
| NPI Number | 1932754595 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 1557690351 |
|---|---|
| Medicare Enrollment ID | O20190904000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932754595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Dee Ann L Widder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346527967 PECOS PAC ID: 3072739416 Enrollment ID: I20140722000095 |
| Provider Name | Pamela D Stearn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194877407 PECOS PAC ID: 4183846827 Enrollment ID: I20141112001525 |
| Provider Name | Michelle R Marcantuno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568726669 PECOS PAC ID: 4284923475 Enrollment ID: I20160511000864 |
| Provider Name | Erin Cliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811427123 PECOS PAC ID: 5991079097 Enrollment ID: I20170927002527 |
| Provider Name | Debra Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750790382 PECOS PAC ID: 7618206418 Enrollment ID: I20190904000278 |
| Provider Name | Christina Ashley Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508413816 PECOS PAC ID: 6608201371 Enrollment ID: I20200203000633 |
| Provider Name | Jolynn Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093917320 PECOS PAC ID: 2264860568 Enrollment ID: I20200320000613 |
| Provider Name | Taylor M Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215567052 PECOS PAC ID: 7315369048 Enrollment ID: I20200625000230 |
| Provider Name | Deborah Dalrymple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396836128 PECOS PAC ID: 8426149634 Enrollment ID: I20200727003674 |
| Provider Name | Marcy Resnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194205005 PECOS PAC ID: 7012394760 Enrollment ID: I20221028001154 |
| Provider Name | Christopher I Higginson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467451401 PECOS PAC ID: 3274907662 Enrollment ID: I20230327001620 |
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