Academic & Behavioral Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-2746 Issued in AZ

Legal business name

ACADEMIC & BEHAVIORAL CENTER LLC

Practice address

1601 N Tucson Blvd
#36
Tucson, AZ 85716-3425

Phone

(520) 323-9835

Fax

(520) 327-2342

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

David M Bynes, LCSWNPI 1588606255

Title

Owner Provider

Phone

(520) 323-9835

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• David M Bynes, LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1588606255
  NPD (past) Authorized official
• Helen M Henderson, LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1215972203
  NPD (past)
• Ky S Resh, LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1891712733
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1417029018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD",
            "address_2": "#36",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163425",
            "telephone_number": "520-323-9835",
            "fax_number": "520-327-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD",
            "address_2": "#36",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163425",
            "telephone_number": "520-323-9835",
            "fax_number": "520-327-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC & BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BYNES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER    PROVIDER",
        "authorized_official_telephone_number": "520-323-9835",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-2746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.