CONCORD BEHAVIORAL HEALTH NPI 1013345560

Clinic/Center (Adult Mental Health) in Wilmington, DE

About CONCORD BEHAVIORAL HEALTH

Concord Behavioral Health is a provider in Wilmington, DE. The NPI number assigned to this provider is 1013345560. The practitioner's primary taxonomy code is Clinic/Center (261QM0850X). The provider is registered as an organization and their NPI record was last updated 5 years ago.

NPI

1013345560

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCONCORD BEHAVIORAL HEALTH
Provider Location Address1300 PENNSYLVANIA AVE WILMINGTON, DE 19806 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1300 PENNSYLVANIA AVE WILMINGTON, DE 19806 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-20-2013 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-20-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QM0850X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdult Mental Health
License No.B10000196
License StateDE
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Business Address

CONCORD BEHAVIORAL HEALTH
1300 PENNSYLVANIA AVE
WILMINGTON, DE
ZIP 19806
Phone: (302) 594-9000
Fax: (302) 594-9004

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Mailing Address

CONCORD BEHAVIORAL HEALTH
1300 PENNSYLVANIA AVE
WILMINGTON, DE
ZIP 19806
Phone: (302) 594-9000
Fax: (302) 594-9004

Authorized Official

Authorized Official NameDR. HARRIS FINKELSTEIN PH.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(302) 594-9000
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1013345552
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1013345578