NPIMap

Organization Active NPI

Advanced Behavioral Health, Inc.

Doing business as ABH, Inc.

  • Child & Adolescent Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1275978165
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ADVANCED BEHAVIORAL HEALTH, INC.
Doing business as
ABH, Inc.
Practice address
5820 York Rd Ste 202
Baltimore, MD 21212-3620
Phone
(301) 345-1022
Fax
(301) 682-2472
NPI assigned
May 6, 2013
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Vera KurdianNPI 1417313230
Title
Director
Phone
(301) 345-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

5820 York Rd Ste 202
Baltimore, MD 21212-3620

Mailing address

1003 W 7TH St Ste 500
Frederick, MD 21701-8512
Phone (301) 345-1022

Other names 1

  • ABH, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Behavioral Health15 organizations share this tax ID, including this one
Part of
Advanced Behavioral Health

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1275978165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST STE 500",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018512",
            "telephone_number": "301-345-1022",
            "fax_number": "301-682-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 YORK RD STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123620",
            "telephone_number": "301-345-1022",
            "fax_number": "301-682-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KURDIAN",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-345-1022"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABH, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABH, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.