ADVANCED BEHAVIORAL MEDICINE, LLC (NPI# 1609291806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609291806 |
| Entity Type | Organization |
| Organization Name | ADVANCED BEHAVIORAL MEDICINE, LLC |
| Practice Address |
2711 Centerville Rd Suite 400 Wilmington DE 19808-1660 |
| Practice Telephone | 9547468232 |
| Practice Fax Number | 9547468231 |
| Mailing Telephone | 9547468232 |
| Mailing Fax Number | 9547468231 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | THERESA SMITH (BILLING MANAGER) |
| Authorized Official Telephone | 9547468232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
2711 CENTERVILLE RD SUITE 400 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164877676 | Robert J Brecher | Psychologist | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2016-05-03 |
| 1598132284 | Sarah Kamara | Nurse Practitioner | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2015-08-28 |
| 1962888412 | Ieso Digital Health | Psychologist | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2015-08-07 |
| 1477935625 | Fallan Savage | Nurse Practitioner | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2015-06-24 |
| 1528466208 | Chfam, LLC | Case Manager/Care Coordinator | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2014-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427954 | Ch Mh Services (de), LLC | Clinic/Center | 2417 Lancaster Ave Unit 110, Wilmington, DE 19805-3736 | 2020-11-06 |
| 1144830738 | Aviva Mental Health Services Inc | Clinic/Center | 219 W 9th St, Wilmington, DE 19801-1619 | 2020-08-07 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1487004651 | Joseph Luther Sampson Jr. | Clinic/Center | 2705 Shandy Ln, Wilmington, NC 28409-2042 | 2016-06-17 |
| 1508225905 | Connections Csp Brandywine Street Women's Residential Treatment Progra | Clinic/Center | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2016-02-15 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1073768123 | Gaudenzia Inc | Clinic/Center | 604 W 10th St, Wilmington, DE 19801-1424 | 2008-11-17 |
| 1902825169 | Wilmington Treatment Center, Inc. | Clinic/Center | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2006-07-19 |
| 1972819845 | Holcomb Associates Inc. | Clinic/Center | 2400 W 4th St, Wilmington, DE 19805-3306 | 2010-08-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on ADVANCED BEHAVIORAL MEDICINE, LLC.
| 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.