| Kelly Tan-haase, PSYD | |
|
1521 Concord Pike, Suite 103, Wilmington, DE 19803 | |
| (302) 428-0205 | |
| (302) 428-1123 |
| Full Name | Kelly Tan-haase |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | 1521 Concord Pike, Wilmington, Delaware |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781858 | NPI | - | NPPES |
| 015467782 | Other | DE | BLUE CROSS |
| 178385 | Other | DE | COMPSYCH |
| 2650058 | Other | DE | CIGNA |
| 922801200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | B1-0000787 (Delaware) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-atlantic Behavioral Health, Llc | 3375620016 | 74 |
| Entity Name | Mid-atlantic Behavioral Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871719872 PECOS PAC ID: 3375620016 Enrollment ID: O20080407000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Tan-haase, PSYD 1521 Concord Pike, Suite 103, Wilmington, DE 19803 Ph: (302) 428-0205 | Kelly Tan-haase, PSYD 1521 Concord Pike, Suite 103, Wilmington, DE 19803 Ph: (302) 428-0205 |
Dr. Mary Iampietro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 | |
Sergio Oliva, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Brandywine Blvd, Wilmington, DE 19809 Phone: 302-793-5072 Fax: 302-765-1996 | |
Celia Teira Serrano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1502 Spruce Ave, Wilmington, DE 19805 Phone: 302-552-3797 | |
Ms. Margaret Mary Graney, CADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 625 N Orange St, Wilmington, DE 19801 Phone: 302-656-4044 Fax: 302-656-3439 | |
Dr. Lisa Deleonardo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5301 Limestone Rd, Suite 102, Wilmington, DE 19808 Phone: 302-234-3443 Fax: 302-234-1017 | |
Dr. Darren Lee Whaley, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1521 Concord Pike Ste 103, Wilmington, DE 19803 Phone: 302-428-0205 Fax: 302-428-1123 | |
Danielle Gentile, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Brandywine Blvd, Wilmington, DE 19809 Phone: 302-793-5073 |