Healthcare Provider Details

I. General information

NPI: 1366263287
Provider Name (Legal Business Name): SPRING MEDICAL CARE OF DELAWARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MADISON AVE FL 2
NEW YORK NY
10010-1600
US

IV. Provider business mailing address

60 MADISON AVE FL 2
NEW YORK NY
10010-1600
US

V. Phone/Fax

Practice location:
  • Phone: 855-629-0554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KERI WOOD
Title or Position: SR AGC
Credential:
Phone: 615-318-8591