ADVANCED BEHAVIORAL MEDICINE, LLC NPI 1609291806

Clinic/Center (Rehabilitation, Substance Use Disorder) in Wilmington, DE

About ADVANCED BEHAVIORAL MEDICINE, LLC

Advanced Behavioral Medicine, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1609291806. The practitioner's primary taxonomy code is Clinic/Center (261QR0405X). The provider is registered as an organization and their NPI record was last updated 4 years ago.

NPI

1609291806

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameADVANCED BEHAVIORAL MEDICINE, LLC
Provider Location Address2711 CENTERVILLE RD SUITE 400 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2711 CENTERVILLE RD SUITE 400 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-25-2014 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-07-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QR0405X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRehabilitation, Substance Use Disorder

Business Address

ADVANCED BEHAVIORAL MEDICINE, LLC
2711 CENTERVILLE RD
SUITE 400
WILMINGTON, DE
ZIP 19808
Phone: (954) 746-8232
Fax: (954) 746-8231

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Mailing Address

ADVANCED BEHAVIORAL MEDICINE, LLC
2711 CENTERVILLE RD
SUITE 400
WILMINGTON, DE
ZIP 19808
Phone: (954) 746-8232
Fax: (954) 746-8231

Authorized Official

Authorized Official Name THERESA SMITH Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleBILLING MANAGER
Authorized Official Phone(954) 746-8232

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164877676 ROBERT J BRECHER PSYD
Individual
Psychologist (Clinical)2711 CENTERVILLE RD SUITE 400
WILMINGTON, DE 19808
(800) 370-3651
1477935625 FALLAN SAVAGE
Individual
Nurse Practitioner (Family)2711 CENTERVILLE RD SUITE 400
WILMINGTON, DE 19808
(800) 370-3651
1528466208CHFAM, LLC
Organization
Case Manager/Care Coordinator2711 CENTERVILLE RD SUITE 400
WILMINGTON, DE 19808
(800) 760-8611
1598132284 SARAH KAMARA
Individual
Nurse Practitioner (Family)2711 CENTERVILLE RD SUITE 400
WILMINGTON, DE 19808
(800) 370-3651
1962888412IESO DIGITAL HEALTH
Organization
Psychologist (Cognitive & Behavioral)2711 CENTERVILLE RD SUITE 400
WILMINGTON, DE 19808
(303) 386-7142
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1609291798
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1609291814