ADVANCED BEHAVIORAL CARE, LLC (NPI# 1528308137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528308137 |
Entity Type | Organization |
Organization Name | ADVANCED BEHAVIORAL CARE, LLC |
Practice Address |
279 New Britain Rd Ste 9 Berlin CT 06037-3165 |
Mailing Address |
Po Box 984 New Britain CT 06050-0984 |
Practice Telephone | 8608279364 |
Mailing Telephone | 8608279396 |
Enumeration Date | 2013-02-19 |
Last Update Date | 2013-02-19 |
Authorized Official Name | IAN BURRUSS (PRESIDENT) |
Authorized Official Telephone | 8608279364 |
Authorized Official Credential | BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | CT | Agencies |
Street Address |
279 NEW BRITAIN RD STE 9 |
City | BERLIN |
State | CT |
Zip Code | 06037-3165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952618654 | Lyndsay Roscoe | Behavioral Analyst | 279 New Britain Rd Ste 9, Berlin, CT 06037-3165 | 2010-09-02 |
1629318944 | Ian P Burruss | Behavioral Analyst | 279 New Britain Rd Ste 9, Berlin, CT 06037-3165 | 2013-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
Find all providers in zip 06037 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750786505 | Autism Behavior Center | Community/Behavioral Health | 1 Whitney Rd, Berlin, MA 01503-1653 | 2014-10-22 |
1649524844 | Arc of Camden County, Inc. | Community/Behavioral Health | 215 W White Horse Pike, Berlin, NJ 08009-1132 | 2012-11-09 |
1740456656 | Women of Hope Resource Center, Inc | Community/Behavioral Health | 14 Estaugh Ave, Berlin, NJ 08009-1414 | 2008-05-01 |
1598889685 | Steininger Behavioral Care Services | Community/Behavioral Health | 128 Cross Keys Rd, Berlin, NJ 08009-9201 | 2007-03-16 |
1174147334 | Invigorate Psychotherapy LLC | Community/Behavioral Health | 314 New Britain Rd Ste C, Berlin, CT 06037-5306 | 2020-06-03 |
1033779327 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1025 Main St, Berlin, PA 15530-1426 | 2019-06-18 |
1801359302 | Androscoggin Valley Hospital, Inc. | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-04-11 |
1366900219 | Weeks Medical Center | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-03-11 |
1396233474 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-25 |
1558859702 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-24 |
Find all providers in BERLIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.