EASTER SEALS DELAWARE & MARYLANDS EASTERN SHORE, INC – Intellectual & Developmental Disabilities Psychologist, NPI 1437156635
Intellectual & Developmental Disabilities Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EASTER SEALS DELAWARE & MARYLANDS EASTERN SHORE, INC
61, Corporate Circle, Christiana Acres, New Castle County, Delaware, 19720, United States
NEW CASTLE, DE 197202405
Phone: (302) 324-4444
Fax: (302) 324-4441
Type: Mailing
1336 Belmont Ave Ste 502B
Salisbury, MD 218044500
Phone: (410) 546-2894
Fax: (410) 546-4913
Type: Location
22317 DuPont Blvd
Georgetown, DE 199472153
Phone: (302) 253-1100
Fax: (302) 856-7852
Type: Location
100 Enterprise Pl Ste 1
Dover, DE 199048207
Phone: (302) 678-3353
Fax: (302) 678-9245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (768 days ago).
Enrollment records
4
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20030902000008 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | DE | 2024-04-30 |
| O20240520000839 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | MD | TBD |
| O20240809000021 | O | Clinic/Group Practice | MD | TBD |
| O20240809000051 | O | Clinic/Group Practice | DE | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19720)
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