Advanced Behavioral Care, Inc. a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12071 Issued in CA

Legal business name

ADVANCED BEHAVIORAL CARE, INC. A PSYCHOLOGICAL CORPORATION

Practice address

27001 La Paz Rd
Suite 418
Mission Viejo, CA 92691-5502

Phone

(949) 215-2500

Fax

(949) 203-8686

NPI assigned

Sep 13, 2006

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Kirschbaum, PH.D.NPI 1073557476

Title

President

Phone

(949) 215-2500

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Stuart Kirschbaum, PH.D.

  • Clinical Psychologist
  • Mission Viejo, CA
  • NPI 1073557476
  NPD (past) Authorized official
• Deborah Lynn Kirschbaum, PH.D.

  • Clinical Psychologist
  • Mission Viejo, CA
  • NPI 1497873731
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1306941596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 418",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-215-2500",
            "fax_number": "949-203-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 418",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-215-2500",
            "fax_number": "949-203-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL CARE, INC. A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "KIRSCHBAUM",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-215-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12070",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.