| Psychiatry Delaware Company Llc | |
|
1415 Foulk Rd Ste 104 Foulkstone Plaza Wilmington DE 19803-2748 | |
| (302) 478-1450 | |
| (302) 478-1430 |
| Full Name | Psychiatry Delaware Company Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1415 Foulk Rd Ste 104, Wilmington, Delaware |
| Authorized Official Name and Position | Andrew W Donohue (OWNER) |
| Authorized Official Contact | 3024781450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Delaware Company Llc 1415 Foulk Rd Ste 104 Foulkstone Plaza Wilmington DE 19803-2748 Ph: (302) 478-1450 | Psychiatry Delaware Company Llc 1415 Foulk Rd Ste 104 Foulkstone Plaza Wilmington DE 19803-2748 Ph: (302) 478-1450 |
| NPI Number | 1316329261 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 09/08/2015 |
| Medicare PECOS PAC ID | 6204143878 |
|---|---|
| Medicare Enrollment ID | O20150915000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316329261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | C20007931 (Delaware) | Primary |
| Provider Name | Andrew W Donohue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346237559 PECOS PAC ID: 2567434269 Enrollment ID: I20060223000123 |
| Provider Name | Dolores Onorato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972929776 PECOS PAC ID: 1557584554 Enrollment ID: I20160202001892 |
| Provider Name | Mustafa A Mufti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619263787 PECOS PAC ID: 1850679234 Enrollment ID: I20161107000872 |
| Provider Name | Michelle Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922436831 PECOS PAC ID: 7214165513 Enrollment ID: I20170525001739 |
| Provider Name | Christopher Mcglinn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093966574 PECOS PAC ID: 0042589392 Enrollment ID: I20170705000882 |
| Provider Name | Mary Ellen Cadman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497257240 PECOS PAC ID: 3870855067 Enrollment ID: I20180328001705 |
| Provider Name | Barry C Gaynor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093358285 PECOS PAC ID: 0648604454 Enrollment ID: I20200103001551 |
| Provider Name | Stephanie R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437737277 PECOS PAC ID: 5193134708 Enrollment ID: I20210512001300 |
| Provider Name | Mian Zarshawn Habib Jan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639736184 PECOS PAC ID: 2466812581 Enrollment ID: I20230720001024 |
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