OrganizationActive
First State Residential Living LLC
NPI 1790344901 · Intellectual & Developmental Disabilities Psychologist · New Castle, DE
Provider details
- NPI number
- 1790344901
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Mannino, President(302) 322-2743
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
92 Reads Way Unit 108
New Castle, DE 19720-1631
Phone: (302) 322-2743
Fax: (302) 450-1368
Street-level locationGet directions
Mailing address
92 Reads Way Unit 108
New Castle, DE 19720-1631
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.