| Compass Mental Wellness Services, Inc | |
|
413 High St Seaford DE 19973-3923 | |
| (302) 394-6051 | |
| (302) 485-5887 |
| Full Name | Compass Mental Wellness Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 413 High St, Seaford, Delaware |
| Authorized Official Name and Position | Ashley Gomez (BUSINESS MANAGER) |
| Authorized Official Contact | 3024703422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Mental Wellness Services, Inc 413 High St Seaford DE 19973-3923 Ph: (302) 394-6051 | Compass Mental Wellness Services, Inc 413 High St Seaford DE 19973-3923 Ph: (302) 394-6051 |
| NPI Number | 1174137624 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 9739522384 |
|---|---|
| Medicare Enrollment ID | O20240209003683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174137624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (NU) | Primary |
| Provider Name | Nancy Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033296348 PECOS PAC ID: 8820040595 Enrollment ID: I20050210000973 |
| Provider Name | Ashley Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358126 PECOS PAC ID: 3072880616 Enrollment ID: I20171218002122 |
| Provider Name | Eric Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437578903 PECOS PAC ID: 4981019445 Enrollment ID: I20210614001056 |
| Provider Name | Tarajean Cornish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427450246 PECOS PAC ID: 8426427634 Enrollment ID: I20221210000384 |
| Provider Name | Remy Gooch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992334320 PECOS PAC ID: 7315381233 Enrollment ID: I20240220000888 |
| Provider Name | Charles Basel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427692235 PECOS PAC ID: 7214371855 Enrollment ID: I20240222000447 |
| Provider Name | Tshnina Street |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134891286 PECOS PAC ID: 9638514748 Enrollment ID: I20240228003743 |
| Provider Name | Ovais Khalid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033345954 PECOS PAC ID: 1153560578 Enrollment ID: I20240805000313 |
| Provider Name | Jefferson Clinton Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417743113 PECOS PAC ID: 8628588191 Enrollment ID: I20250612001635 |
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