Organization Active NPI

American Behavior Change Center LLC

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1639769490
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AMERICAN BEHAVIOR CHANGE CENTER LLC
Practice address
4514 Cole Ave Ste 600
Dallas, TX 75205-4193
Phone
(703) 342-9329
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Donna Scott
Title
Operations Manager
Phone
(214) 621-3485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4514 Cole Ave Ste 600
Dallas, TX 75205-4193

Mailing address

8324 Lullwater Dr
Dallas, TX 75218-1148

Other practice location 1

225 Wilmington W Chester Pike Ste 200
Chadds Ford, PA 19317-9011
Phone (703) 342-9329

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1639769490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 LULLWATER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054193",
            "telephone_number": "703-342-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Wilmington W Chester Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chadds Ford",
            "state": "PA",
            "postal_code": "193179011",
            "country_code": "US",
            "telephone_number": "703-342-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN BEHAVIOR CHANGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "214-621-3485"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.