ADVANCED BEHAVIORAL HEALTH (NPI# 1952570558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952570558 |
| Entity Type | Organization |
| Organization Name | ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
2109 Red Lion Rd Philadelphia PA 19115-1711 |
| Mailing Address |
681 River Ave Ste 2e Lakewood NJ 08701-5229 |
| Practice Telephone | 7329010035 |
| Practice Fax Number | 7329059891 |
| Mailing Telephone | 7329010035 |
| Mailing Fax Number | 7329059891 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | ISSAC S GELLEY (OWNER) |
| Authorized Official Telephone | 7329010035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558874149 | Advanced Behavioral Health | Clinic/Center | 300 Clinton Ave W Ste 21, Huntsville, AL 35801-5590 | 2017-11-06 |
| 1457802431 | Advanced Behavioral Health | Counselor | 1003 W 7th St, #500, Frederick, MD 21701-4106 | 2016-10-14 |
| 1588114557 | Advanced Behavioral Health | Counselor | 5820 York Rd, Suite 202, Baltimore, MD 21212-3610 | 2016-10-13 |
| 1043760010 | Advanced Behavioral Health | Counselor | 7474 Greenway Center Dr, Suite 730, Greenbelt, MD 20770-3504 | 2016-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ADVANCED BEHAVIORAL HEALTH LLC | 2510 N Pines Rd Ste 206b, Spokane Vly, WA 99206-7636 |
| New York State Corporations | ADVANCED BEHAVIORAL HEALTH LLP | 16 Pond Hollow Ct, Pleasantville, New York 10570 |
| Virginia Business Entities | Advanced Behavioral Health Services LLC | 1215 Mall Dr., N. Chesterfield, Virginia 23235-4737 |
| Connecticut Business Registrations | ADVANCED BEHAVIORAL HEALTH, INC. | Middlesex Corporate Center, 213 Court St 8th Flr, Middletown, CT 06457 |
| Colorado Business Entities | Advanced Behavioral Health, LLC | 324 East Railroad Ave., Suite 400, Fort Morgan, CO 80701 |
| Street Address |
2109 RED LION RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770562688 | Ashton Hall Inc | Assisted Living Facility | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2006-01-10 |
| 1508471541 | Alexandra Andraski | Registered Nurse | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2020-09-15 |
| 1841815370 | Yana Yazmir | Registered Nurse | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2020-06-10 |
| 1306487095 | Nadine Alfred | Nurse Practitioner | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2019-10-03 |
| 1952577371 | Oakwood Healthcare LLC | Skilled Nursing Facility | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2008-05-06 |
| 1164454773 | Arnold Young | Psychologist | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578937 | Margaret Edwards | Psychologist | 110 S 20th St Ste 206, Philadelphia, PA 19103-4486 | 2020-11-03 |
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1689272577 | Katherine Piselli | Psychologist | 3401 Market St Ofc 3216, Philadelphia, PA 19104-3318 | 2020-10-13 |
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1659980621 | Corinne Masur | Psychologist | 1601 Walnut St Ste 1408, Philadelphia, PA 19102-2909 | 2020-07-27 |
| 1730798067 | Amanda Marie Large | Psychologist | 1516 N 5th St Unit 401, Philadelphia, PA 19122-3679 | 2020-07-22 |
| 1295355543 | Jennifer Ann Engelhardt | Psychologist | 8201 Henry Ave Apt Q15, Philadelphia, PA 19128-2248 | 2020-04-16 |
| 1336778315 | Carly Mirit Gerbi | Psychologist | 2227 Delancey Pl, Philadelphia, PA 19103-6549 | 2020-04-02 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on ADVANCED BEHAVIORAL HEALTH.
| 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.