NPIMap

Organization Active NPI

Hummingbird ABA Therapy, LLC

  • Community/Behavioral Health Agency
  • State College, PA
National Provider Identifier
1265032411
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUMMINGBIRD ABA THERAPY, LLC
Practice address
2160 Sandy Dr Ste D
State College, PA 16803-2205
Phone
(814) 380-9180
Fax
(814) 406-4244
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mrs. Julie A Angstadt, MA, BCBA, LBSNPI 1770193708
Title
Owner & Clinical Director
Phone
(814) 380-9180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2160 Sandy Dr Ste D
State College, PA 16803-2205

Mailing address

2160 Sandy Dr Ste D
State College, PA 16803-2205
Phone (814) 380-9180

Other identifiers 2

IdentifierTypeStateIssuer
1038509600004MedicaidPA
1770193708OtherNPI (TYPE 1)

Other names 1

  • Julie Angstadt Other name

National Provider Directory

National Provider Directory
Tax ID family
Hummingbird ABA Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2160 Sandy Dr
Ste D
State College, PA 16803
Phone (814) 380-9180

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1265032411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-380-9180",
            "fax_number": "814-406-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-380-9180",
            "fax_number": "814-406-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMINGBIRD ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ANGSTADT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "814-380-9180",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, BCBA, LBS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038509600004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE 1)",
            "identifier": "1770193708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie Angstadt",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Julie Angstadt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.