NPIMap

Organization Active NPI

Advanced Behavioral Medicine

  • Specialist
  • Tacoma, WA
National Provider Identifier
1578964367
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PY60409618 Issued in WA
Legal business name
ADVANCED BEHAVIORAL MEDICINE
Practice address
2013 S 19TH St
Tacoma, WA 98405-2920
Phone
(253) 383-3355
Fax
(253) 383-3627
NPI assigned
Sep 11, 2014
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Dr. Edwin L Hill, PH.D.NPI 1518971332
Title
Owner
Phone
(253) 383-3355

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
Specialist 174400000X PY60409618 WA Primary

Addresses

Primary practice location

2013 S 19TH St
Tacoma, WA 98405-2920

Mailing address

2013 S 19TH St
Tacoma, WA 98405-2920
Phone (253) 383-3355

National Provider Directory

National Provider Directory

Locations

2013 S 19th St
Tacoma, WA 98405
Phone (253) 383-3355

Practitioners & affiliated clinicians

Practitioners 10

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": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1578964367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052920",
            "telephone_number": "253-383-3355",
            "fax_number": "253-383-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052920",
            "telephone_number": "253-383-3355",
            "fax_number": "253-383-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-383-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PY60409618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.