Organization Active NPI

Advanced Behavioral Medicine, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wilmington, DE
National Provider Identifier
1609291806
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ADVANCED BEHAVIORAL MEDICINE, LLC
Practice address
2711 Centerville Rd
Suite 400
Wilmington, DE 19808-1660
Phone
(954) 746-8232
Fax
(954) 746-8231
NPI assigned
Feb 25, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Theresa Smith
Title
Billing Manager
Phone
(954) 746-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

2711 Centerville Rd
Suite 400
Wilmington, DE 19808-1660

Mailing address

2711 Centerville Rd
Suite 400
Wilmington, DE 19808-1660
Phone (954) 746-8232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1609291806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 CENTERVILLE RD",
            "address_2": "SUITE 400",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081660",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 CENTERVILLE RD",
            "address_2": "SUITE 400",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081660",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-746-8232"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

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