| Kent/sussex Community Mental Health Center | |
|
805 River Rd Dover DE 19901-3753 | |
| (302) 739-4275 | |
| Not Available |
| Full Name | Kent/sussex Community Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 River Rd, Dover, Delaware |
| Authorized Official Name and Position | Stanley J Kotula (MEDICAL DIRECTOR/DIRECTOR OF CLINIC) |
| Authorized Official Contact | 3025766093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent/sussex Community Mental Health Center 10 Sw Front St Milford DE 19963-1948 Ph: (302) 422-1422 | Kent/sussex Community Mental Health Center 805 River Rd Dover DE 19901-3753 Ph: (302) 739-4275 |
| NPI Number | 1104871920 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 6507756731 |
|---|---|
| Medicare Enrollment ID | O20040319000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104871920 | NPI | - | NPPES |
| 0000609824 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Duane D Shubert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639128465 PECOS PAC ID: 0446140354 Enrollment ID: I20040316000938 |
| Provider Name | Rick Hong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851379473 PECOS PAC ID: 2961471461 Enrollment ID: I20040930001074 |
| Provider Name | Andrew W Donohue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346237559 PECOS PAC ID: 2567434269 Enrollment ID: I20060223000123 |
| Provider Name | Fawzia K Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467506915 PECOS PAC ID: 3274639802 Enrollment ID: I20070427000463 |
| Provider Name | Eric W Schwarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398461 PECOS PAC ID: 2163500042 Enrollment ID: I20080417000108 |
| Provider Name | Stephen J Kushner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134104805 PECOS PAC ID: 1355438037 Enrollment ID: I20080516000119 |
| Provider Name | Mohammad Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063424539 PECOS PAC ID: 8224111448 Enrollment ID: I20131127000186 |
| Provider Name | Reinette N Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518365360 PECOS PAC ID: 8022339225 Enrollment ID: I20150529002256 |
| Provider Name | Curtis Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033134234 PECOS PAC ID: 9335103928 Enrollment ID: I20161026003000 |
| Provider Name | Vedette Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326635194 PECOS PAC ID: 0941607261 Enrollment ID: I20210929000020 |
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I & K Quality Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Jordan Dr, Dover, DE 19904 Phone: 303-674-5259 | |
Goodnights Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 725 Walker Rd, Dover, DE 19904 Phone: 302-270-3906 | |
Indigo Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Kings Hwy Ste 302, Dover, DE 19901 Phone: 302-450-3936 Fax: 302-450-3927 | |
Kent Sussex Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 College Park Dr, Dover, DE 19904 Phone: 302-735-7790 Fax: 302-735-3654 | |
Embracing Oak Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 E Loockerman St Ste 302, Dover, DE 19901 Phone: 412-953-2791 | |
A Center For Mental Wellness Community Support Programs, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Loockerman St, Dover, DE 19904 Phone: 302-674-1397 Fax: 302-674-1602 |