Provider Demographics
NPI:1154200970
Name:OPTUM BEHAVIORAL CARE OF DELAWARE, INC.
Entity type:Organization
Organization Name:OPTUM BEHAVIORAL CARE OF DELAWARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BISCORNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-854-2929
Mailing Address - Street 1:46 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-2242
Mailing Address - Country:US
Mailing Address - Phone:877-622-0013
Mailing Address - Fax:
Practice Address - Street 1:46 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:WINOOSKI
Practice Address - State:VT
Practice Address - Zip Code:05404-2242
Practice Address - Country:US
Practice Address - Phone:877-622-0013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty