Organization Active NPI

Advanced Behavioral Care, PLLC.

  • Medical Specialty Clinic/Center
  • Edmond, OK
National Provider Identifier
1518799535
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ADVANCED BEHAVIORAL CARE, PLLC.
Practice address
1008 S Bryant Ave Ste 275
Edmond, OK 73034-6288
Phone
(405) 889-8287
Fax
(833) 605-4189
NPI assigned
Aug 19, 2024
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mrs. Meryl Elaine AaronNPI 1477117638
Title
Owner
Phone
(405) 889-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1008 S Bryant Ave Ste 275
Edmond, OK 73034-6288

Mailing address

1008 S Bryant Ave Ste 275
Edmond, OK 73034-6288
Phone (405) 889-8287

Other practice location 1

107 S 1470 E Ste 201
Saint George, UT 84790-1751
Phone (405) 889-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250128001258 UT Part B Supplier - Clinic/Group Practice 5092244681 Receives reassigned benefits from 1 practitioner
Practice locations: Saint George, UT
O20260108000633 OK Part B Supplier - Clinic/Group Practice 5092244681 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

1008 S Bryant Ave
Ste 275
Edmond, OK 73034
Phone (405) 602-4396

19 W 5th St
Edmond, OK 73003

107 S 1470 E
Ste 201
Saint George, UT 84790
Phone (405) 517-7095

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1518799535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S BRYANT AVE STE 275",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346288",
            "telephone_number": "405-889-8287",
            "fax_number": "833-605-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S BRYANT AVE STE 275",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346288",
            "telephone_number": "405-889-8287",
            "fax_number": "833-605-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S 1470 E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847901751",
            "country_code": "US",
            "telephone_number": "405-889-8287",
            "fax_number": "800-783-8997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL CARE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "MERYL",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-889-8287",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.