NPIMap

Organization Active NPI

Advanced Behavioral Care, Inc.

  • Clinical Psychologist
  • Abingdon, MD
National Provider Identifier
1629024039
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ADVANCED BEHAVIORAL CARE, INC.
Practice address
1432 Valley Forge Way
Abingdon, MD 21009-2706
Phone
(410) 599-7400
NPI assigned
May 26, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mr. Leonard Francis Stielper III
Title
President/Owner
Phone
(410) 599-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1432 Valley Forge Way
Abingdon, MD 21009-2706

Mailing address

23562 Canoe CT
Lewes, DE 19958-5443
Phone (410) 599-7400

Other identifiers 1

IdentifierTypeStateIssuer
124942800MedicaidMD

National Provider Directory

National Provider Directory

Locations

780 Woodland Ave
Lewisberry, PA 17339
Phone (717) 938-9370

Practitioners & affiliated clinicians

Practitioners 8

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1629024039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23562 CANOE CT",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199585443",
            "telephone_number": "410-599-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 VALLEY FORGE WAY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092706",
            "telephone_number": "410-599-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "STIELPER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-599-7400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124942800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.