Active NPI
Adelson Behavioral and Medical Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Prairie, TX
National Provider Identifier
1467109702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Duncanville, TX
- NPI 1063966075
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.