Advantage Psychiatric Services LLC
Organization Active NPI Case Management Agency · Elkton, MD
NPI 1306364971 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1306364971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- ADVANTAGE PSYCHIATRIC SERVICES LLC
- Practice address
- 306 W Pulaski Hwy
Elkton, MD 21921-5217 - Phone
- (410) 686-3629
- Fax
- (410) 780-7178
- NPI assigned
- Sep 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Cynthia Pixton
- Title
- Chief Executive Officer
- Phone
- (410) 686-3629
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 7
Practitioners 7
-
Angelina Argyle, LCSW-C
-
Ethel Ann Bakke, LPC, NCC, LMHC, CAP
-
Lynn Bass, LCPC
-
Ronald Tyler Montgomery, LGPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190326001310 | MD | Part B Supplier - Clinic/Group Practice | 2860732039 |
Receives reassigned benefits from 27 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nottingham, MD; Prince Frederick, MD; Havre de Grace, MD; Elkton, MD; Annapolis, MD |
National Provider Directory
- Tax ID family
- Advantage Psychiatric Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
306 W Pulaski Hwy
Elkton, MD 21921-5217
Mailing address
5024 Campbell Blvd Ste a
Nottingham, MD 21236-5974
Phone (410) 686-3629
Other providers in Elkton, MD
- Adult Day Services at Union Hospital
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists, LLC
- Advanced Women'S Health, LLC
- Advantage Psychiatric Services LLC
- Advantage Psychiatric Services LLC
- Advantage Psychiatric Services LLC
- Affiliated Sante Group
- Afterhours Fair Hill, L.L.C.
All providers in Elkton, MD · Case Management Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.