Active NPI
American Behavior Change Center LLC
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1639769490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryNPI 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.