Mid-Atlantic Behavioral Health, LLC
NPI 1871719872 · Intellectual & Developmental Disabilities Psychologist · Newark, DE
Provider details
- NPI number
- 1871719872
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Pardo, Chief Legal Officer(206) 399-1493
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
- Forensic Psychologist103TF0200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lifestance Health
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2024-01-02
- Certified
- 2023-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.