Organization Active NPI

Adelson Behavioral and Medical Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1467109702
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADELSON BEHAVIORAL AND MEDICAL SERVICES LLC
Practice address
6960 Seabreeze Dr
Grand Prairie, TX 75054-7283
Phone
(214) 382-6536
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Adeline Abam, NP
Title
Ceo
Phone
(214) 382-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6960 Seabreeze Dr
Grand Prairie, TX 75054-7283

Mailing address

6960 Seabreeze Dr
Grand Prairie, TX 75054-7283
Phone (214) 382-6536

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1467109702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 SEABREEZE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547283",
            "telephone_number": "214-382-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 SEABREEZE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547283",
            "telephone_number": "214-382-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELSON BEHAVIORAL AND MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "ABAM",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-382-6536",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.