NPIMap

Organization Active NPI

Action Behavior Centers, LLC

  • Psychologist
  • Englewood, CO
National Provider Identifier
1083311294
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ACTION BEHAVIOR CENTERS, LLC
Practice address
6065 South Quebec Street
Suite 100
Englewood, CO 80111-4575
Phone
(720) 259-5079
NPI assigned
Feb 8, 2023
Organization subpart
Yes
Parent organization
ACTION BEHAVIOR CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha L Gomez
Title
Credentialing Manager
Phone
(512) 551-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6065 South Quebec Street
Suite 100
Englewood, CO 80111-4575

Mailing address

1601 S Mopac Expy
Ste C300
Austin, TX 78746-7077
Phone (512) 920-1030

National Provider Directory

National Provider Directory
Tax ID family
Action Behavior Centers LLC92 organizations share this tax ID, including this one
Part of
Action Behavior Centers LLC

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1083311294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY",
            "address_2": "STE C300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467077",
            "telephone_number": "512-920-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 SOUTH QUEBEC STREET",
            "address_2": "SUITE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114575",
            "telephone_number": "720-259-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION BEHAVIOR CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTION BEHAVIOR CENTERS, LLC",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-551-1717"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.