ADVANCD BEHAVIORAL CLINICIANS
NPI 1639793326
Nurse Practitioner - Family in Sarasota, FL

Active since May 29, 2020
2650 BAHIA VISTA ST STE 209, SARASOTA, FL 34239(941) 870-3600(727) 998-8401 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2022, Jun 23, 2020, Jun 1, 2020 and 1 more (4 updates tracked since 2020).

About Advancd Behavioral Clinicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCD BEHAVIORAL CLINICIANS (NPI 1639793326) is a healthcare organization registered as a family in Sarasota, Florida and active in the NPI registry since May 2020. The organization maintains 2 additional practice locations and lists Adair Lynne Deicke, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1639793326
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED BEHAVIORAL CLINICIANS, LLC
Location Address2650 BAHIA VISTA ST STE 209Sarasota, FL 34239-2625
Mailing Address20 Meadowbrook LnPalmer, MA 01069-1134 · (941) 870-3600 · Fax (727) 998-8401
Fax(727) 998-8401
Organization SubpartNo
Authorized OfficialAdair Lynne DeickeOwner/ceo · (727) 239-9938
Enumeration DateMay 29, 2020
Last NPPES UpdateAugust 26, 20224 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1639793326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2650 BAHIA VISTA ST STE 209, Sarasota, FL 34239

Other Names 1

Doing Business AsAdvancd Behavioral Clinicians

Secondary Practice Locations 2

Location 11991 Hyde Park StSarasota, FL 34239-3612 · Phone (727) 239-9938 · Fax (727) 998-8041
Location 22740 Coconut Bay Ln Unit 3GSarasota, FL 34237-3055 · Phone (941) 870-3600 · Fax (727) 998-8401

Other Identifiers 1

Medicaid008642300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
2650 BAHIA VISTA ST STE 209
SARASOTA, FL 34239
Nurse Practitioner (Psychiatric/Mental Health)
2650 BAHIA VISTA ST STE 209
SARASOTA, FL 34239
Clinical Neuropsychologist
2650 BAHIA VISTA ST STE 209
SARASOTA, FL 34239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Behavioral Clinicians, LLC's NPI number?

The NPI number for Advanced Behavioral Clinicians, LLC is 1639793326. It was assigned to this organization in the NPPES registry on May 29, 2020. The provider is doing business as Advancd Behavioral Clinicians.

Where is Advanced Behavioral Clinicians, LLC located?

Advanced Behavioral Clinicians, LLC is located at 2650 Bahia Vista St Ste 209, Sarasota, FL 34239. The listed phone number is (941) 870-3600.

What is Advanced Behavioral Clinicians, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Advanced Behavioral Clinicians, LLC was last updated on August 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.