State of Delaware

State of Delaware is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Dover, DE, holding Type 2 (organization) NPI 1104871920 since 2006. The authorized official on file is Stanley Kotula, Medical Director/Director of Clinic.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104871920
Entity type	Organization (Type 2)
Legal business name	State of Delaware
Other name	<Unavail>
Practice address	805 RIVER RD, Dover, DE, 19901
Phone	3027394275
Enumeration date	2006-05-23
Last updated in NPPES	2020-02-25

Authorized official

Name	Stanley Kotula
Title	Medical Director/Director of Clinic
Phone	3025766093

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
0000609824	Medicaid	DE	—

Copy-ready billing details

Provider: State of Delaware
NPI: 1104871920
Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center))
Address: 805 RIVER RD, Dover, DE, 19901

Providers at this address

NPI	Name	Type	Specialty	Location
1407858509	Mary Conrad	Individual	Obstetrics & Gynecology Nurse Practitioner	Dover, DE
1467453977	Peggy Judd	Individual	Licensed Practical Nurse	Dover, DE
1033197843	Lisa Wullschleger	Individual	Nurse Practitioner	Dover, DE
1811910763	David Sibley	Individual	Psychiatry Physician	Dover, DE
1629120787	Matilde Cruz	Individual	Family Nurse Practitioner	Dover, DE
1356495725	Kimberly Ross-Tilley	Individual	Women's Health Nurse Practitioner	Dover, DE
1326171067	Hee Soon Lee	Individual	Ambulatory Family Planning Facility	Dover, DE
1770098402	Kathleen Joiner-Martin	Individual	Adult Health Nurse Practitioner	Dover, DE

Verify this record

Cross-check NPI 1104871920 against the authoritative CMS record: view State of Delaware on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is State of Delaware located?

The practice location on file with NPPES is in Dover, DE.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-02-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-25.