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 5 years ago.

NPI

1609291806

Provider NameADVANCED BEHAVIORAL MEDICINE, LLC
Provider Location Address2711 CENTERVILLE RD SUITE 400 WILMINGTON, DE 19808
Provider Mailing Address2711 CENTERVILLE RD SUITE 400 WILMINGTON, DE 19808
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-25-2014
Last Update Date07-07-2014

Primary Taxonomy

Taxonomy Code261QR0405X
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
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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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