Healthcare Provider Details

I. General information

NPI: 1336334267
Provider Name (Legal Business Name): WILMINGTON PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5175 W WOODMILL DR STE 7
WILMINGTON DE
19808-4067
US

IV. Provider business mailing address

9200 CORPORATE BLVD STE 120
ROCKVILLE MD
20850-3863
US

V. Phone/Fax

Practice location:
  • Phone: 302-999-8426
  • Fax: 302-999-8761
Mailing address:
  • Phone: 301-670-4250
  • Fax: 301-670-4260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberC1-0007689
License Number StateDE

VIII. Authorized Official

Name: RAMNIK K. SINGH
Title or Position: OWNER
Credential: M.D.
Phone: 302-999-8426